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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENTRY DANIELLE RIDDLE, PA

Active

JENTRY DANIELLE RIDDLE, PA is a Medical Physician Assistant healthcare provider located in KILLEEN, Texas. NPI 1003849837 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · KILLEEN, TX

Registration Details

NPI Number
1003849837
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2006 (20.105555478493 yrs)
Last Updated
Jun 15, 2009
Licenses
MP00154600 (NJ)
PA05748 (TX)
PA05748 (TX)

Practice Information

Address
4204 EAST STAN SCHLEUTER LOOP
KILLEEN, TX, 765428352
Browse TX providers · Browse ZIP 76542
Phone
2546902800
Fax
2546905401
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in KILLEEN, TX

Name Credential NPI
PAUL D PETERSON PA 1861494486
MR. MATT P. PREWITT P.A.-C 1023044898
VANGALEA J. WEEMS P.A. 1962594002
MR. JEFFREY A BROOKS PA-C 1861556631
MRS. DOROTHY MAE THOMPSON PHYSICIAN ASSISTANT 1033259155
MR. ROBERT FARRELL STOKES JR. PA-C 1639509631
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.