person
Jennifer Ridenoure, PAC
Medical Physician Assistant in Fort Lauderdale, Florida
NPI 1912012816

Jennifer Ridenoure is a Medical Physician Assistant based in Hollywood, FL and is specialized in Medical. Jennifer Ridenoure practices in Fort Lauderdale, FL and has the professional credentials of PAC. The NPI Number for Jennifer Ridenoure is 1912012816 and holds a License No. PA9103460 (Florida).

The current practice location address for Jennifer Ridenoure is 1330 Riverland Rd, Fort Lauderdale, FL and can be reached out via phone at 954-321-9826 and via fax at 954-321-9660. You can also correspond with Jennifer Ridenoure through the mailing address at 2936 CAMBRIDGE LN, HOLLYWOOD, FL - 33026-3748 (mailing address contact number: 954-704-0108).

Location: 1330 Riverland Rd, Fort Lauderdale, FL, 33026-3748
person
Provider Profile Details
NPI Number
1912012816
Provider Name
Jennifer Ridenoure
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1330 Riverland Rd, Fort Lauderdale, FL, 33026-3748
Phone Number
954-321-9826
Fax Number
954-321-9660
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292299100 05 FL
institution
Provider Business Practice Location Address Details
Address
1330 Riverland Rd
City
State
Zip
33312-2961
Phone Number
954-321-9826
Fax Number
954-321-9660
person
Provider Business Mailing Address Details
Address
1330 Riverland Rd
City
State
Zip
33312-2961
Phone Number
954-321-9826
Fax Number
954-321-9660
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103460 (Florida)
Definition
Definition to come...
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