Anderson-Riddell, Jessica Lynn
Anderson-Riddell, Jessica Lynn is an individual health care provider with primary practice located at 28930 Trails Edge Blvd Suite 200, Bonita Springs FL 34134-7518. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson-Riddell, Jessica Lynn can be contacted via phone (239) 293-0294.Contact Information
Primary practice address
28930 Trails Edge Blvd Suite 200
Bonita Springs FL 34134-7518
Phone: (239) 293-0294
Fax: (239) 992-5785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9283140 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9283140 | Florida |
Profile Details
| NPI number | 1073768990 |
|---|---|
| LBN Legal business name | Anderson-Riddell, Jessica Lynn |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Dec 20th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073768990 | NPPES |
| Florida | Other | P01232801 | RAILROAD MCR |
| Florida | MEDICAID | 009559000 | RAILROAD MCR |
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