Ethridge, Tracy White

Ethridge, Tracy White is an individual health care provider with primary practice located at 2301 Medpark Dr , Rocky Mount NC 27804-2288. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ethridge, Tracy White can be contacted via phone (252) 962-5000.

Contact Information

Primary practice address
2301 Medpark Dr Rocky Mount NC 27804-2288
Phone: (252) 962-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4902 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 131546 North Carolina

Profile Details

NPI number 1972722668
LBN Legal business name Ethridge, Tracy White
Credentials RN-BC, CNS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Mar 2nd, 2016 - about 8 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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