Jennifer Ridenoure in Hollywood - Medical
Jennifer Ridenoure - NPI 1912012816
Jennifer Ridenoure is a Medical in Hollywood, Florida. Jennifer Ridenoure practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer Ridenoure is 1912012816. The last update date is 2007-07-08.
Jennifer Ridenoure's current location address is 2936 Cambridge Ln, Hollywood, Florida. You can contact this provider via phone number 9547040108. The mailing address for Jennifer Ridenoure is 2936 Cambridge Ln, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Ridenoure |
|---|---|
| Address | 2936 Cambridge Ln, Hollywood, Florida |
| Phone Number | 9547040108 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.C |
NPI Number Detail
| NPI Number | 1912012816 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2936 Cambridge Ln |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330263748 |
| Phone Number | 9547040108 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103460 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292299100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Ridenoure by the Centers for Medicare & Medicaid Services?
The Jennifer Ridenoure has been assigned the NPI (National Provider Identifier) 1912012816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jennifer Ridenoure is physically located?
The Jennifer Ridenoure is situated at the following address: 2936 Cambridge Ln, Hollywood, FL 330263748.
What is the area of specialization for Jennifer Ridenoure, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Ridenoure is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Jennifer Ridenoure receive its 1912012816 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Ridenoure was assigned its 1912012816 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the details related to Jennifer Ridenoure most recently updated or revised?
The information pertaining to Jennifer Ridenoure, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.