Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACKIE WAYNE ETHERIDGE, APRN, APMHNP
ActiveMR. JACKIE WAYNE ETHERIDGE, APRN, APMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PINEVILLE, Louisiana. NPI 1740515790 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PINEVILLE, LA
Registration Details
- NPI Number
- 1740515790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2009 (16.809632289515 yrs)
- Last Updated
- Oct 8, 2009
- License
-
AP05657 (LA)
Practice Information
- Address
-
242 WEST SHAMROCK, UNIT 1PINEVILLE, LA, 71360Browse LA providers · Browse ZIP 71360
- Phone
- 3184846850
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in PINEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| MYRON BRYANT | APRN, PMHNP-BC, LPC | 1437454550 |
| MRS. VERENA PANNELL MCGINNIS | APMHNP-BC | 1336499243 |
| MS. SHEILA MARIE JONES-JORDAN | PMHNP-BC | 1124371406 |
| YOSHIKA CROUTE | PMHNP-BC | 1912461914 |
| CLAIRE ANNETTE CROSS | PMHNP | 1962091066 |
| KAYLA WILLIAMS | PMHNP | 1134849581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.