Riddle, Kristi Jeanette

Riddle, Kristi Jeanette is an individual health care provider with primary practice located at 700 W Forest Ave Suite 200, Jackson TN 38301-3937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Riddle, Kristi Jeanette can be contacted via phone (731) 541-9490.

Contact Information

Primary practice address
700 W Forest Ave Suite 200 Jackson TN 38301-3937
Phone: (731) 541-9490
Fax: (731) 541-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11216 Tennessee

Profile Details

NPI number 1568452837
LBN Legal business name Riddle, Kristi Jeanette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568452837 NPPES
Tennessee Other 4204304 BCBS
Tennessee MEDICAID 36404411 BCBS
Tennessee Other 4156897 BCBS

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