Individual
MR. JAMES SCOTT ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 552-0450
Mailing address
5300 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5556
(405) 949-3349
(405) 552-0450
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
107513
OK
Other
Enumeration date
03/27/2017
Last updated
03/31/2017
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