| NPI | 1710458328 |
|---|---|
| Former Name | JESSICA RIDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011582) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC RIDL-19Q272) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2024-09-23 |