Ridenoure, Jennifer
Ridenoure, Jennifer is an individual health care provider with primary practice located at 1330 Riverland Rd , Fort Lauderdale FL 33312-2961. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ridenoure, Jennifer can be contacted via phone (954) 321-9826.Contact Information
Primary practice address
1330 Riverland Rd
Fort Lauderdale FL 33312-2961
Phone: (954) 321-9826
Fax: (954) 321-9660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9103460 | Florida |
Profile Details
NPI number | 1912012816 |
---|---|
LBN Legal business name | Ridenoure, Jennifer |
Credentials | P.A.C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912012816 | NPPES |
Florida | MEDICAID | 292299100 |
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