Individual
JEREMY KRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, EMT-B
Contact information
Practice address
5655 FRIST BLVD, HERMITAGE, TN 37076-2053
(615) 316-3000
Mailing address
5655 FRIST BLVD, HERMITAGE, TN 37076-2053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5178
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2021
Last updated
09/29/2022
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