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Individual

MRS. JENNIFER CLARK RISEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
7 YORKSHIRE ST, ASHEVILLE, NC 28803-2796
(828) 761-1710
(828) 505-8345
Mailing address
117 CANNON RIDGE RD, ARDEN, NC 28704-1160
(865) 712-9191

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16065
TN
363LF0000X
Family Nurse Practitioner
16065
TN
363LF0000X
Family Nurse Practitioner
Primary
5017987
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
460643559
TN
Enumeration date
08/30/2011
Last updated
04/20/2023
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