Individual
JENNIFER ANNE RIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
535 STONE PONY LN, KNOXVILLE, TN 37919-7595
(865) 558-4400
Mailing address
535 STONE PONY LN, KNOXVILLE, TN 37919-7595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3641880
—
TN
01
—
P00334252
RAILROAD MEDICARE
TN
Enumeration date
05/20/2006
Last updated
01/29/2025
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