Individual
MRS. JESSICA WILLIS-RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 S PEAR ORCHARD RD STE 8, RIDGELAND, MS 39157-4800
(601) 473-1950
Mailing address
731 S PEAR ORCHARD RD STE 8, RIDGELAND, MS 39157-4800
(601) 473-1950
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2011
Last updated
10/24/2024
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