Jessica Lee Ridenour
NPI #1134942162 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1134942162
- Entity Type
- Individual
- Name
- Jessica Lee Ridenour
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 7, 2024
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 2548 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (918) 355-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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