Ridgway, Jennifer L.

Ridgway, Jennifer L. is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ridgway, Jennifer L. can be contacted via phone (912) 350-8180.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-8180
Fax: (912) 350-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN222180 Georgia

Profile Details

NPI number 1689077372
LBN Legal business name Ridgway, Jennifer L.
Credentials APRN, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Sep 7th, 2022 - about 2 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 1689077372 NPPES
Georgia MEDICAID PENDING
Georgia MEDICAID PENDING

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