Provider Demographics
NPI:1912232315
Name:RIEDY, JENNIFER N
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:N
Last Name:RIEDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 TRUTH PL
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-8706
Mailing Address - Country:US
Mailing Address - Phone:610-395-8065
Mailing Address - Fax:
Practice Address - Street 1:5344 TRUTH PL
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-8706
Practice Address - Country:US
Practice Address - Phone:610-395-8065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula