MR. JACKIE ETHERIDGE

APRN, APMHNP specializing in nurse practitioner in Alexandria, Louisiana

NPI: 1740515790

Provider Type

1

Practice Locations

Mailing Location

PO BOX 7473

ALEXANDRIA, LA 71306

📞 3184846850

📠 3184846844

Practice Location

242 WEST SHAMROCK, UNIT 1

PINEVILLE, LA 71360

📞 3184846850

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:10/8/2009
Last Updated:10/8/2009

Credentials

Primary Credential:APRN, APMHNP
MR. JACKIE ETHERIDGE - Nurse Practitioner in Alexandria, Louisiana