Individual provider · Type 1 NPI

Chaketta Ethridge

Psychiatric/Mental Health Nurse Practitioner · Mobile, AL

NPI number 1467320481 Active

Practice location

1015 Montlimar Dr
Mobile, AL 36609-1713

Fax (251) 706-5597

Mailing address

2521 Greenlawn Dr
Mobile, AL 36605-5230

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1-161631 (AL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467320481

Chaketta Ethridge's National Provider Identifier is 1467320481, issued on Oct 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mobile, AL. The record was last updated on Nov 25, 2025.