Individual
MRS. JESSICA MARIE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 MEMORIAL DR STE 300, DECATUR, IL 62526-6322
(217) 428-6300
(217) 428-6322
Mailing address
4405 SAND CREEK RD, DECATUR, IL 62521-8908
(217) 972-7677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016881
IL
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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