Individual
JENNY RIDDLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4529 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 605-0190
(336) 605-0930
Mailing address
4529 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 605-0190
(336) 605-0930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007878
NC
Other
Enumeration date
09/01/2015
Last updated
07/30/2019
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