Organization
CHILDRENS OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. V JOLENE ETHRIDGE CRNP (PEDIATRIC NURSE PRACTITIONER)
(205) 939-9285
Entity
Organization
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-5432
Mailing address
433 CAMP BRANCH RD, ALABASTER, AL 35007-4915
(205) 664-3024
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
1-060689
AL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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