Individual
MRS. JAMIE BOST RIDENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5061
(704) 210-5337
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 210-5061
(704) 210-5337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005141
—
NC
Enumeration date
12/15/2010
Last updated
08/02/2024
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