Individual provider · Type 1 NPI
Jessica Riddle, PNP-AC
Critical Care Pediatric Nurse Practitioner · Dallas, TX
NPI number
1487908273
Active
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
2650 Cedar Springs Rd Apt 6617
Dallas, TX 75201-1479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 827508 (TX) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 827508 (TX) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487908273
Jessica Riddle, PNP-AC's National Provider Identifier is 1487908273, issued on Nov 1, 2012. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Dallas, TX. The record was last updated on Mar 21, 2025.