Individual
JESSICA RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
2650 CEDAR SPRINGS RD APT 6617, DALLAS, TX 75201-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
827508
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
827508
TX
Other
Enumeration date
11/01/2012
Last updated
03/21/2025
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