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Individual

ALDRIDGE JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(877) 564-3627
Mailing address
374 OAK SPRINGS DR, LAWRENCEVILLE, GA 30043-3539

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95026289
CA
363LA2200X
Adult Health Nurse Practitioner
AP61463666
WA
363LA2200X
Adult Health Nurse Practitioner
ARNP9327361
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
RN242150
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95026289
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
AP61463666
WASHINGTON STATE DEPT. OF HEALTH
WA
01
ARNP9327361
FL DEPT OF HEALTH
FL
01
RN242150
GEORGIA SECRETARY OF STATE
GA
Enumeration date
07/21/2014
Last updated
06/12/2024
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