Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MIKALA RIDDLESWORTH, PHYSICIAN ASSISTANT
ActiveMISS MIKALA RIDDLESWORTH, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in JOHNSON CITY, Tennessee. NPI 1780718262 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1780718262
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2007 (19.374753222949 yrs)
- Last Updated
- Jul 8, 2016
- Licenses
-
1858 (TN)004986 (GA)
Practice Information
- Address
-
2151 CENTURY LNJOHNSON CITY, TN, 376044469Browse TN providers · Browse ZIP 37604
- Phone
- 4239262500
- Fax
- 4239265999
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MELISSA KAYE TAYLOR | PA-C | 1881697076 |
| ANDREW WILLIAM HULL | PA | 1811999857 |
| BRIAN K. BUXTON | PA-C | 1922098987 |
| MR. BRYAN DANIEL LORCH | P.A. | 1902888944 |
| MR. BRIAN H PLANT | PAC | 1972587277 |
| WILLIAM STACY MELVIN | P.A. | 1275517054 |
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.