TERA RIDDICK

HATTIESBURG, MS
NPI1437683174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  902065)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  AP136023)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704337467)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NV  847297)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM  64961)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP136023)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  277.001649)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61207763)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  71519)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3017193)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11016385)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  403905)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95008223)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  12410130-4405)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024182319)
Enumeration Date2017-04-19
Last Update Date2022-07-22
Business Address
Dr. TERA RIDDICK
107 XAVIER ST
HATTIESBURG, MS 39401-3618
Phone number: 601-310-9785
Mailing Address
Dr. TERA RIDDICK
107 XAVIER ST
HATTIESBURG, MS 39401-3618
Phone number: 601-310-9785