MR. Jackie Wayne Etheridge APRN, APMHNP

  • NPI 1740515790
According to our database, the NPI number for MR. Jackie Wayne Etheridge APRN, APMHNP is 1740515790 and activated since 14 years ago. MR. Jackie Wayne Etheridge APRN, APMHNP is an individual provider who specializes in Psychiatric/Mental Health, and the primary practice location is 242 West Shamrock, Unit 1, Pineville, LA 71360. You can also contact MR. Jackie Wayne Etheridge APRN, APMHNP via telephone number is (318) 484-6850. Provider NPI information was last updated on 10/08/2009.

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Overview of MR. Jackie Wayne Etheridge APRN, APMHNP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/08/2009
  • Last updated: 10/08/2009

Primary Scrop of Practice

  • Taxonomy Code: 363LP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: AP05657
  • License State: LA

Provider Mailing Address

  • Address: Po Box 7473
    Alexandria, LA 71306
  • Phone: 318-484-6850
  • Fax: 318-484-6844

Provider Practice Location

  • Address: 242 West Shamrock, Unit 1
    Pineville, LA 71360
  • Phone: 318-484-6850
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: AP05657
  • License State: LA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jackie Wayne Etheridge APRN, APMHNP?
  • A: The npi number for MR. Jackie Wayne Etheridge APRN, APMHNP is 1740515790.
  • Q: What are MR. Jackie Wayne Etheridge APRN, APMHNP's specialties?
  • A: MR. Jackie Wayne Etheridge APRN, APMHNP's specialties are Psychiatric/Mental Health and different specialities.
  • Q: What is the medical license for MR. Jackie Wayne Etheridge APRN, APMHNP?
  • A: The medical license number for MR. Jackie Wayne Etheridge APRN, APMHNP is AP05657 and issued in LA in USA.
  • Q: Where is MR. Jackie Wayne Etheridge APRN, APMHNP practice location?
  • A: MR. Jackie Wayne Etheridge APRN, APMHNP is practicing at 242 West Shamrock, Unit 1, Pineville, LA 71360.
  • Q: How to contact MR. Jackie Wayne Etheridge APRN, APMHNP?
  • A: You can contact MR. Jackie Wayne Etheridge APRN, APMHNP via 318-484-6850.