Individual provider · Type 1 NPI
Jasmine Ridy
Medical Physician Assistant · Atlanta, GA
NPI number
1790438588
Active
Practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342-1611
Mailing address
1390 Vayda Ct
Marietta, GA 30066-2309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 12677 (GA) |
Medical Physician Assistant: Definition to come...
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About NPI 1790438588
Jasmine Ridy's National Provider Identifier is 1790438588, issued on Feb 1, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Mar 12, 2025.