Individual provider · Type 1 NPI

Jennifer Ridenoure, P.A.C

Medical Physician Assistant · Fort Lauderdale, FL

NPI number 1912012816 Active

Practice location

1330 Riverland Rd
Fort Lauderdale, FL 33312-2961

Fax (954) 321-9660

Mailing address

2936 Cambridge Ln
Hollywood, FL 33026-3748

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103460 (FL)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1912012816

Jennifer Ridenoure, P.A.C's National Provider Identifier is 1912012816, issued on Aug 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.