Etheridge, Jennifer Simpson

Etheridge, Jennifer Simpson is an individual health care provider with primary practice located at 1360 Caduceus Way Ste 105 , Watkinsville GA 30677-7300. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Etheridge, Jennifer Simpson can be contacted via phone (706) 850-3795.

Contact Information

Primary practice address
1360 Caduceus Way Ste 105 Watkinsville GA 30677-7300
Phone: (706) 850-3795
Fax: (877) 580-1676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN222355 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN222355 Georgia

Profile Details

NPI number 1144784372
LBN Legal business name Etheridge, Jennifer Simpson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2019
Last updated Mar 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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