Ridenhour, Jamie B

Ridenhour, Jamie B is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ridenhour, Jamie B can be contacted via phone (704) 210-5061.

Contact Information

Primary practice address
612 Mocksville Ave Salisbury NC 28144-2732
Fax: (704) 210-5337
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005015 North Carolina

Profile Details

NPI number 1659674505
LBN Legal business name Ridenhour, Jamie B
Credentials FNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659674505 NPPES
North Carolina MEDICAID 7005141

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