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

Mr. Jerry Ethridge

Individual provider Registered Nurse · NPI 1851259105

Mr. Jerry Ethridge is a Registered Nurse in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

820 Ashley Laine Walk
Lawrenceville, GA 30043-4286
Phone: (229) 392-3459
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN188111 (GA)

Record details

NPI number1851259105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address820 Ashley Laine Walk, Lawrenceville, GA 30043-4286

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