Individual provider · Type 1 NPI
Audrey Dale Ethridge, PMHNP-BC, MSN
Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
NPI number
1982484416
Active
Practice location
777 Holly Hill Dr
Tupelo, MS 38801-2340
Fax (888) 836-0702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2023001592 (MP) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1982484416
Audrey Dale Ethridge, PMHNP-BC, MSN's National Provider Identifier is 1982484416, issued on Oct 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tupelo, MS. The record was last updated on Jan 30, 2024.