Individual
JOCELYN RIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 BOOTH RD STE D, ORMOND BEACH, FL 32174-5718
(407) 906-3755
Mailing address
1187 MARGINA AVE, DAYTONA BEACH, FL 32114-5943
(814) 441-2408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11033587
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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