MS. JESSIE MICHELL RIDDLE APRN NPI 1285383828

NPI Information

NPI: 1285383828
Provider Name: MS. JESSIE MICHELL RIDDLE, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
100 S BROADWAY ST
GLASGOW, KY
ZIP 42141
Phone: (270) 861-0606
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MS. Jessie Michell Riddle, APRN is a psychiatric/mental health nurse practitioner in Glasgow, KY with 2 years of experience. MS. Jessie Michell Riddle, APRN NPI is 1285383828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 S BROADWAY ST
GLASGOW, KY
ZIP 42141-604
Phone: (270) 861-0606
Fax: (270) 629-2444

The NPI 1285383828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2022 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3018432	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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