V JOLENE ETHRIDGE

BIRMINGHAM, AL
NPI1699013938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL  1-060689)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
-- V JOLENE ETHRIDGE crnp
1600 7TH AVE S CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233
Phone number: 205-638-5432
Mailing Address
-- V JOLENE ETHRIDGE crnp
201 WIXFORD WAY
ALABASTER, AL 35007-3156
Phone number: 205-638-5432
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