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Individual
KRISTI JEANETTE RIDDLE
Active
Individual
KRISTI JEANETTE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11216
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36404411
—
TN
01
—
4156897
BLUE CROSS
TN
01
—
4204304
BCBS
TN
Enumeration date
10/26/2005
Last updated
07/03/2013
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