Individual provider · Type 1 NPI
V Jolene Ethridge, CRNP
Pediatric Nurse Practitioner · Birmingham, AL
NPI number
1699013938
Active
Practice location
1600 7th Ave S, Childrens Of Alabama
Birmingham, AL 35233
Mailing address
201 Wixford Way
Alabaster, AL 35007-3156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1-060689 (AL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1699013938
V Jolene Ethridge, CRNP's National Provider Identifier is 1699013938, issued on Jan 22, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Birmingham, AL. The record was last updated on Jan 22, 2013.