National Provider Identifier

Jennifer Rider, LPN

Jennifer Rider, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 798-8951.

NPI 1710334461Medina, NYLicensed Practical Nurse

Profile Overview

NPI
1710334461
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016

Practice Location

  • 11476 Ridge RD
  • Medina, NY 14103-9635

Phone: (585) 798-8951

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1710334461
Entity Type
Individual
Last Name
Rider
First Name
Jennifer
Credential
LPN
Mailing Street Address
11476 Ridge RD
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103-9635
Mailing Country
US
Mailing Phone
(585) 798-8951
Practice Street Address
11476 Ridge RD
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-9635
Practice Country
US
Practice Phone
(585) 798-8951
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)