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Charlece Ridenour, RN

Registered Nurse, School in Ozark, AR. Individual provider (NPI-1).

NPI number1982502704
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1982502704
Entity type
Individual (NPI-1)
Name
Charlece Ridenour
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 30, 2026
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WS0200X Registered Nurse, SchoolR80589ARYes

Practice location

1631 Hillbilly Dr
Ozark, AR 72949-2127

Phone 479-667-4116

Mailing address

1631 Hillbilly Dr
Ozark, AR 72949-2127

Phone 479-667-4116

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