Individual
MRS. JENNA ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5007285
NC
363LG0600X
Gerontology Nurse Practitioner
5007285
NC
363LP2300X
Primary Care Nurse Practitioner
5007285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164827416
—
NC
01
—
189ZA
BCBS NC
NC
Enumeration date
10/29/2014
Last updated
04/10/2015
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