JASON RYAN RIDENOUR FNP
NPI 1740160167
Nurse Practitioner - Family in Indianapolis, IN

Active since September 05, 2025
5160 E SOUTHPORT RD, INDIANAPOLIS, IN 46237(317) 672-2773 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Practitioner
  • Family

About JASON RIDENOUR

This page provides the complete NPI Profile along with additional information for Jason Ridenour, a provider established in Indianapolis, Indiana with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1740160167 assigned on September 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 71017046A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1740160167 Verify this NPI
Provider Name
JASON RYAN RIDENOUR FNP
Gender
Male
Entity Type
Individual
Location Address
5160 E SOUTHPORT RD INDIANAPOLIS, IN 46237
Location Phone
(317) 672-2773
Mailing Address
675 S 100 W FRANKLIN, IN 46131
Mailing Phone
(317) 919-7650
Is Sole Proprietor?
No
Enumeration Date
09-05-2025
Last Update Date
09-05-2025
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A nurse practitioner (NP) like Jason Ridenour is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
71017046A
License State
IN

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740160167, enumerated as an "individual" on September 05, 2025.

The provider is located at 5160 E SOUTHPORT RD INDIANAPOLIS, IN 46237 and the phone number is (317) 672-2773.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.