Individual provider · Type 1 NPI

Leslie Ann Ethridge, CRNP, FNP

Family Nurse Practitioner · Dothan, AL

NPI number 1639804560 Active

Practice location

1450 Ross Clark Cir Ste 400
Dothan, AL 36301-4770

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-155435 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1639804560

Leslie Ann Ethridge, CRNP, FNP's National Provider Identifier is 1639804560, issued on Jul 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dothan, AL. The record was last updated on Aug 31, 2023.