Individual
JESSICA ALICIA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5003 OGG RD, CEDAR HILL, TN 37032-4826
(808) 212-8470
Mailing address
5003 OGG RD, CEDAR HILL, TN 37032-4826
(808) 212-8470
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
196671
TN
163WM0705X
Medical-Surgical Registered Nurse
716812
CA
363L00000X
Nurse Practitioner
Primary
29844
TN
363L00000X
Nurse Practitioner
3016337
KY
Other
Enumeration date
02/17/2009
Last updated
08/20/2021
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