NPI 1699013938 · live from the CMS NPI Registry
V Jolene Ethridge, crnp
Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1699013938, active.
NPI record
| NPI | 1699013938 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1600 7th Ave S, Childrens Of Alabama, Birmingham, AL 35233 |
| Practice phone | 205-638-5432 |
| Mailing address | 201 Wixford Way, Alabaster, AL 35007 |
| Enumerated | January 22, 2013 |
| Last updated | January 22, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-060689 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.