JENNIFER ETHERIDGE

Nurse Practitioner - Adult Health

Active Individual
NPI: 1144784372

Practice Address

1360 CADUCEUS WAY STE 105
Watkinsville, GA 30677

Phone: (706) 850-3795

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN222355 (GA)
Nurse Practitioner - Adult Health 363LA2200X Yes RN222355 (GA)

Frequently Asked Questions

NPI 1144784372 is the National Provider Identifier for JENNIFER ETHERIDGE, a Nurse Practitioner - Adult Health provider located in Watkinsville, GA. This NPI was enumerated on January 22, 2019.
JENNIFER ETHERIDGE practices at 1360 CADUCEUS WAY STE 105, Watkinsville, GA 30677.

Quick Facts

NPI
1144784372
Type
Individual
Enumerated
Jan 22, 2019
Last Updated
Mar 11, 2021

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