Individual
JOSHUA RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2600 KINGS HWY STE 340, SHREVEPORT, LA 71103-3951
(318) 212-8620
(318) 212-8625
Mailing address
2600 KINGS HWY STE 340, SHREVEPORT, LA 71103-3951
(318) 212-8620
(318) 212-8625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
241501
LA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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