Individual
JENNICA RIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6799
(251) 633-0793
(251) 633-0736
Mailing address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6799
(251) 633-0793
(251) 633-0736
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125.070473
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
42653
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268256
—
AL
Enumeration date
06/19/2017
Last updated
08/20/2021
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