Individual
MRS. ELIZABETH JEANINE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4595
(318) 966-5295
Mailing address
610 MATTHEW ST, MONROE, LA 71201-2752
(318) 557-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119497
LA
163W00000X
Registered Nurse
RN61223549
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
241547
LA
Other
Enumeration date
05/30/2023
Last updated
06/11/2025
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