Individual
MS. ARDYCE JANE RIDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,D.PHIL, GNP, FNP
Contact information
Practice address
1508 TOMBRAS AVENUE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVENUE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6124
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
6124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3900528
—
TN
01
—
4193059
BCBS - TENNESSEE
TN
Enumeration date
06/16/2006
Last updated
09/12/2014
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