Individual
BRIANNA NICOLE RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1214 GALLATIN AVE STE 101, NASHVILLE, TN 37206-3270
(615) 988-1620
Mailing address
2380 SOMERSET VALLEY DR, ANTIOCH, TN 37013-4488
(931) 722-1817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380640
MEDICARE GROUP
TN
05
—
Q006289
—
TN
Enumeration date
11/18/2013
Last updated
10/11/2020
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