Mrs Tracy White Ethridge, RN-BC, CNS, LPC is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Rocky Mount, North Carolina. Mrs Tracy White Ethridge is licensed to practice in North Carolina (license number 131546) and her current practice location is
2301 Medpark Dr, Rocky Mount, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 962-5000.
NPI number for Mrs Tracy White Ethridge is 1972722668 and her current mailing address is 2000 Perimeter Park Dr, Suite 200, Morrisville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972722668.
Healthcare Provider's Profile
Full Name | Mrs Tracy White Ethridge |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 2301 Medpark Dr, Rocky Mount, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972722668
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 03/02/2016
Medical Identifiers
Medical identifiers for Mrs Tracy White Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972722668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 4902 (North Carolina) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 131546 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tracy White Ethridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tracy White Ethridge, RN-BC, CNS, LPC 2000 Perimeter Park Dr, Suite 200, Morrisville, NC 27560-8442 Ph: (252) 962-5000 | Mrs Tracy White Ethridge, RN-BC, CNS, LPC 2301 Medpark Dr, Rocky Mount, NC 27804-2288 Ph: (252) 962-5000 |
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