MEREDITH J ETHERIDGE

PADUCAH, KY
NPI1417128083
Former NameMEREDITH J DAVENPORT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3005182)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: KY  5182P)
363L00000X Nurse Practitioner
(Licence: KY  3005182)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: KY  5182P)
Enumeration Date2008-03-21
Last Update Date2023-02-14
Business Address
MEREDITH J ETHERIDGE APRN
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003-7915
Phone number: 270-538-5596
Mailing Address
MEREDITH J ETHERIDGE APRN
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003-7915
Phone number: 270-538-5596