Individual
ELIZABETH RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1805 N JACKSON ST STE 11, TULLAHOMA, TN 37388
(931) 455-9118
Mailing address
1805 N JACKSON ST STE 11, TULLAHOMA, TN 37388-2275
(931) 455-9118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-140718
AL
363L00000X
Nurse Practitioner
Primary
196188
TN
Other
Enumeration date
08/22/2016
Last updated
07/28/2019
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