JENNIFER ANNE RIDEWOOD DNP, CPNP, RN
NPI 1639829443
Nurse Practitioner - Pediatrics in Goldsboro, NC

Q: What is Jennifer Ridewood's NPI number?

The NPI number for Jennifer Ridewood is 1639829443. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Jennifer Ridewood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ridewood was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2022

2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534(919) 734-4736 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 18, 2023, May 18, 2022 (2 updates tracked since 2022).

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About Jennifer Anne Ridewood Dnp, Cpnp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANNE RIDEWOOD DNP, CPNP, RN (NPI 1639829443) is an individual pediatrics provider in Goldsboro, North Carolina, licensed in North Carolina (202222626) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1639829443

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJENNIFER ANNE RIDEWOODCredential: DNP, CPNP, RN

Location Address2706 MEDICAL OFFICE PLGoldsboro, NC 27534-9462

Mailing Address2532 Asher View CtRaleigh, NC 27606-4854

Phone(919) 734-4736

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1639829443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NC · 202222626

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 296169 (NC)

2706 MEDICAL OFFICE PL, Goldsboro, NC 27534

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY EILEEN MALOY WITT P.N.P.

Nurse Practitioner (Pediatrics)