IndividualActive
Jennifer Etheridge, L.AC.
NPI 1417344250 · Acupuncturist · Randolph, VT
Provider details
- NPI number
- 1417344250
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.AC.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 091.0098544 (VT)
Specialties & taxonomies
Other Service Providers
Practice location
4 Summer St
Randolph, VT 05060-1175
Phone: (802) 246-7750
Approximate (ZIP-level) locationGet directions
Mailing address
17 Summer St
Randolph, VT 05060-1162
Registry dates
- Enumerated
- 2015-04-20
- Last updated
- 2015-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.