Individual
JENNIFER ANNE RIDEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, RN
Contact information
Practice address
2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9462
(919) 734-4736
Mailing address
2532 ASHER VIEW CT, RALEIGH, NC 27606-4854
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
296169
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
202222626
NC
Other
Enumeration date
03/25/2022
Last updated
01/18/2023
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