Individual
JERICA LYNN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
231 MIDLAND PARK, SHELBYVILLE, KY 40065-9735
(502) 633-6411
(502) 633-6657
Mailing address
3716 VALLEY CREEK DR, PENDLETON, KY 40055-9706
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
1148887
KY
363LF0000X
Family Nurse Practitioner
Primary
4040060
KY
Other
Enumeration date
08/30/2023
Last updated
08/22/2025
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