MS. Jessica L. Ridgely, PA-C

NPI #1063691244 in Randallstown, Maryland

Provider Information

NPI Number: 1063691244
Entity Type: Individual
Name: MS. Jessica L. Ridgely, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 5401 OLD COURT RD
City: Randallstown
State: Maryland
ZIP Code: 21133-5103
Phone: (410) 521-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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