Ridgely, Jessica L.

Ridgely, Jessica L. is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ridgely, Jessica L. can be contacted via phone (410) 521-2200.

Contact Information

Primary practice address
5401 Old Court Rd Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003611 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0003611 Maryland

Profile Details

NPI number 1063691244
LBN Legal business name Ridgely, Jessica L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 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.

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