Individual
JENNIFER D RIGGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Mailing address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333870901
—
TX
Enumeration date
03/29/2007
Last updated
07/27/2020
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