Individual provider · Type 1 NPI

Jill Marie Ridens, RN, RD

Nurse Practitioner · Anaheim, CA

NPI number 1508565110 Active

Practice location

100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870

Call (714) 780-0750 Map

Mailing address

10762 El Gorra Cir
Fountain Valley, CA 92708-3840

Other practice locations

  • 10762 El Gorra Cir, Fountain Valley, CA 92708-3840 · (714) 612-6776

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95031456 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508565110

Jill Marie Ridens, RN, RD's National Provider Identifier is 1508565110, issued on Mar 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Anaheim, CA. The record was last updated on Oct 1, 2026.