Individual provider · Type 1 NPI

Tera Riddick

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1437683174 Active

Practice location

107 Xavier St
Hattiesburg, MS 39401-3618

Call (601) 310-9785 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP61207763 (WA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X0024182319 (VA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95008223 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN11016385 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X71519 (ID)
Family Nurse Practitioner Primary 363LF0000XAP136023 (TX)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X3017193 (KY)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X64961 (NM)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X403905 (NY)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP136023 (TX)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X902065 (MS)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X277.001649 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X12410130-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X847297 (NV)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X4704337467 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1437683174

Tera Riddick's National Provider Identifier is 1437683174, issued on Apr 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on May 18, 2026.