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

Stanley Lee Ridner III

Individual provider Nurse Practitioner · NPI 1083750590

Stanley Lee Ridner III is a Nurse Practitioner in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007

Practice location Address checks out

365 Stout Dr Ste 160
Johnson City, TN 37614
Phone: (423) 439-4225
Fax: (423) 439-4560
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23528 (TN)

Record details

NPI number1083750590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJanuary 22, 2018

Other providers in Johnson City