Individual
JENNIFER L RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
175 MADISON AVE FL 1, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
Mailing address
PO BOX 8505, CHERRY HILL, NJ 08002-0505
(856) 755-1616
(856) 755-0098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NJ 26ND11974800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222041639
TAX ID
NJ
Enumeration date
12/01/2006
Last updated
08/21/2024
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