Individual
JESSICA RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3417
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28177768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038707
—
IN
Enumeration date
05/29/2020
Last updated
02/18/2026
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