Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Ethridge

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730918723

Jacob Ethridge is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5623 Hamilton Wolfe Apt 236
San Antonio, TX 78240-4051
Phone: (801) 360-8298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730918723
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

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