Etheridge, Meredith J
Etheridge, Meredith J is an individual health care provider with primary practice located at 225 Medical Center Dr Ste 304 , Paducah KY 42003-7915. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Etheridge, Meredith J can be contacted via phone (270) 538-5596.Contact Information
Primary practice address
225 Medical Center Dr Ste 304
Paducah KY 42003-7915
Phone: (270) 538-5596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5182P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3005182 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5182P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3005182 | Kentucky |
Profile Details
| NPI number | 1417128083 |
|---|---|
| LBN Legal business name | Etheridge, Meredith J |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Feb 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417128083 | NPPES |
| Kentucky | Other | K245300 | MEDICARE PTAN |
| Kentucky | MEDICAID | 7100062510 | MEDICARE PTAN |
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