STANLEY RIDNER III

Nurse Practitioner

Active Individual
NPI: 1083750590

Practice Address

365 STOUT DRIVE
SUITE 160
Johnson City, TN 37614

Phone: (423) 439-4225

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 23528 (TN)

Frequently Asked Questions

NPI 1083750590 is the National Provider Identifier for STANLEY RIDNER III, a Nurse Practitioner provider located in Johnson City, TN. This NPI was enumerated on January 30, 2007.
STANLEY RIDNER III practices at 365 STOUT DRIVE, SUITE 160, Johnson City, TN 37614.

Quick Facts

NPI
1083750590
Type
Individual
Enumerated
Jan 30, 2007
Last Updated
Jan 22, 2018

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