Individual
JESSICA RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4011
Mailing address
913 VARIFORM DR, DURHAM, NC 27712-3697
(234) 281-8056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RIDE-NSULV
NC
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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