Individual provider · Type 1 NPI
Jerry Ethridge
Registered Nurse · Lawrenceville, GA
Practice location
820 Ashley Laine Walk
Lawrenceville, GA 30043-4286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | RN188111 (GA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1851259105
Jerry Ethridge's National Provider Identifier is 1851259105, issued on Jan 14, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 14, 2026.