Individual provider · Type 1 NPI
Jeanette Ethridge, NP
Psychiatric/Mental Health Nurse Practitioner · Fort Washington, MD
NPI number
1689334773
Active
Practice location
7522 Greer Dr
Fort Washington, MD 20744-3319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1006588 (DC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP1006588 (DC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689334773
Jeanette Ethridge, NP's National Provider Identifier is 1689334773, issued on Dec 30, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Washington, MD. The record was last updated on Jul 25, 2023.