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

Jessica Lee Ridenour

Individual provider Case Manager/Care Coordinator · NPI 1134942162

Jessica Lee Ridenour is a Case Manager/Care Coordinator in Broken Arrow, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2548 E Kenosha St
Broken Arrow, OK 74014-6712
Phone: (918) 355-0993
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1134942162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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