Ethridge-Brown, Jillian Nicole

Ethridge-Brown, Jillian Nicole is an individual health care provider with primary practice located at 1296 Jeffco Blvd , Arnold MO 63010-2138. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Flight, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ethridge-Brown, Jillian Nicole can be contacted via phone (636) 321-8610.

Contact Information

Primary practice address
1296 Jeffco Blvd Arnold MO 63010-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041425190 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 2008021433 Missouri
Nursing Service Providers / Flight 163WF0300X 2008021433 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016034571 Missouri

Profile Details

NPI number 1093252777
LBN Legal business name Ethridge-Brown, Jillian Nicole
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2017
Last updated Nov 27th, 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.

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