JILLIAN NICOLE ETHRIDGE-BROWN MSN FNP-BC NPI 1093252777

NPI Information

NPI: 1093252777
Provider Name: JILLIAN NICOLE ETHRIDGE-BROWN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1296 JEFFCO BLVD
ARNOLD, MO
ZIP 63010
Phone: (636) 321-8610
Get Directions

Jillian Nicole Ethridge-brown, MSN, FNP-BC is a family nurse practitioner in Arnold, MO. Jillian Nicole Ethridge-brown, MSN, FNP-BC NPI is 1093252777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1296 JEFFCO BLVD
ARNOLD, MO
ZIP 63010-138
Phone: (636) 321-8610

The NPI 1093252777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041425190	ILLINOIS	No
2	163W00000X	Registered Nurse		2008021433	MISSOURI	No
3	163WF0300X	Registered Nurse	Flight	2008021433	MISSOURI	No
4	363LF0000X	Nurse Practitioner	Family	2016034571	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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