Individual
MRS. JENNIFER JO RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, #225, OMAHA, NE 68114
(402) 354-5860
(402) 354-2350
Mailing address
8303 DODGE ST, #225, OMAHA, NE 68114
(402) 354-5860
(402) 354-2350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110797
NE
Other
Enumeration date
08/31/2006
Last updated
03/28/2024
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