Individual
V JOLENE ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, CHILDRENS OF ALABAMA, BIRMINGHAM, AL 35233
(205) 638-5432
Mailing address
201 WIXFORD WAY, ALABASTER, AL 35007-3156
(205) 638-5432
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-060689
AL
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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