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Tory Kirsten Etheridge, NP
Nurse Practitioner in Gray, Georgia
NPI 1649771155

Tory Kirsten Etheridge is a Nurse Practitioner based in Gray, GA. Tory Kirsten Etheridge practices in Gray, GA and has the professional credentials of NP. The NPI Number for Tory Kirsten Etheridge is 1649771155 and holds a License No. 2017026648 (Georgia).

The current practice location address for Tory Kirsten Etheridge is 4120 Gray Hwy, Gray, GA and can be reached out via phone at 478-320-2298.

Location: 4120 Gray Hwy, Gray, GA, 31032-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649771155
Provider Name
Tory Kirsten Etheridge
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4120 Gray Hwy, Gray, GA, 31032-6156
Phone Number
478-320-2298
Fax Number
Provider Enumeration Date
02/21/2018
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN223023 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
4120 Gray Hwy
City
Gray
State
Georgia
Zip
31032-6156
Phone Number
478-320-2298
Fax Number
person
Provider Business Mailing Address Details
Address
4120 Gray Hwy
City
Gray
State
Georgia
Zip
31032-6156
Phone Number
478-320-2298
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2017026648 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2017026648 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2017026648 (Georgia)
Definition
Definition to come...
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