Individual
AMBER M. RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NNP-BC
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6011
Mailing address
1124 ENGLEWOOD AVE, CHATTANOOGA, TN 37405-2314
(773) 243-7705
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
25669
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104199152
NCC ID
—
Enumeration date
04/12/2019
Last updated
04/12/2019
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