Jerri Riggins
Individual provider Active NPI Driver · Citronelle, AL
NPI 1154830438 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1154830438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 3819874 (AL)
- Practice address
- 8240 Woodland Dr S
Citronelle, AL 36522-2796 - Phone
- (251) 421-9067
- NPI assigned
- Sep 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3819874 | AL | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | 3819874 | AL | Yes |
Addresses
Primary practice location
8240 Woodland Dr S
Citronelle, AL 36522-2796
Mailing address
8240 Woodland Dr
Citronelle, AL 36522
Phone (251) 421-9067
Other providers in Citronelle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.