Individual
JENNIFER L. RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PNP
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-5697
Mailing address
1131 MADISON MILL DR, NOLENSVILLE, TN 37135-3031
(770) 295-9681
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN222180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
05
—
PENDING
—
SC
Enumeration date
10/08/2014
Last updated
09/07/2022
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