Renee L Etheredge (NPI# 1164837563, PAC ID# 9537389499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164837563 |
| PAC ID by PECOS | 9537389499 |
| Professional Enrollment ID | I20140929000869 |
| Full Name | Renee L Etheredge |
| Organization Legal Name | AIKAM HEALTH |
| Address |
220 Hospital Dr Jackson AL 36545-2459 |
| Phone Number | 2512469021 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375772700 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010128 | JACKSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 220 Hospital Dr, Jackson, AL 36545-2459 | 2512469021 | AIKAM HEALTH |
| Organization Legal Name | AIKAM HEALTH |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep Govil | Family Medicine | Aikam Health | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Mindy Childs | Nurse Practitioner | Aikam Health | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Street Address |
220 HOSPITAL DR |
| City | JACKSON |
| State | AL |
| Zip | 36545-2459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Heckert | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Carla A Baxley | Nurse Practitioner | Jackson Medical Center, LLC | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Sandeep Govil | Family Medicine | Aikam Health | 220 Hospital Dr, Jackson, AL 36545-2459 |
| John C Mcandrew Iii | Orthopedic Surgery | Alabama Orthopaedic Clinic, PC | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Mindy Childs | Nurse Practitioner | Aikam Health | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Sarah Parrish | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Michele Herman | Internal Medicine | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Mary R Clark | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Erin L Imler | Family Medicine | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Ikram Hussain | Internal Medicine | Jackson Medical Center, LLC | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan B Cole | Nephrology | Nephrology Associates of Mobile, P.a. | 215 Walker Springs Rd, Jackson, AL 36545-2136 |
| Brian K Graham | Chiropractic | Total Spine and Rehab, Inc | 1455 College Ave, Jackson, AL 36545-2410 |
| Steven P Furr | Family Medicine | Ghs Jmc Clinics LLC | 227 Hospital Dr, Jackson, AL 36545-2423 |
| Norman Stevens | Family Medicine | Imc Family Medical of Jackson P C | 227 Hospital Dr, Jackson, AL 36545-2423 |
| Timothy H Mullinix | Nurse Practitioner | Ghs Jmc Clinics LLC | 227 Hospital Dr, Jackson, AL 36545-2423 |
| Sidney Crosby | Family Medicine | Imc Family Medical of Jackson P C | 227 Hospital Dr, Jackson, AL 36545-2423 |
| Jessie L Criswell | Nurse Practitioner | Ghs Jmc Clinics LLC | 227 Hospital Dr, Jackson, AL 36545-2423 |
| Debra L Powell | Physical Therapy | Healthactions Pa | 1711 College Ave, Jackson, AL 36545-2425 |
| Kristin Anderson | Physical Therapy | Healthactions Pa | 1711 College Ave, Jackson, AL 36545-2425 |
| Jennifer Mcmurray | Physical Therapy | Healthactions Pa | 1711 College Ave, Jackson, AL 36545-2425 |
| Find all physicians in zip 36545 | |||
| City | JACKSON |
| Zip Code | 36545 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee L Etheredge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.