Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Pediatric Associates, LLC

Organization Pediatrics Physician · NPI 1912335530

Jackson Pediatric Associates, LLC is a Pediatrics Physician in Jackson, Wyoming. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

557 E Broadway Ave
Jackson, WY 83001-8640
Phone: (307) 733-4627
Fax: (307) 733-5184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1912335530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Riddell — Pediatrician · (307) 733-4627
Other names Jackson Pediatrics
NPI enumeratedOctober 16, 2013
Last updated in NPPESOctober 16, 2013
Mailing addressPo Box 1029, Jackson, WY 83001-1029

Other providers in Jackson