Individual provider · Type 1 NPI

Jordan Riddle, PA-C

Physician Assistant · Wilson, NC

NPI number 1750111993 Active

Practice location

1801 Glendale Dr SW
Wilson, NC 27893-4401

Fax (252) 220-9641

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-15079 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750111993

Jordan Riddle, PA-C's National Provider Identifier is 1750111993, issued on Aug 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilson, NC. The record was last updated on May 13, 2026.