MICHELLE G ETHERIDGE NPI 1316648868

NPI Information

  • NPI: 1316648868
  • Provider Name: MICHELLE G ETHERIDGE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5150 BELFORT RD BLDG 400
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 580-4730

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NPI Details

Michelle G Etheridge is a family nurse practitioner in Jacksonville, FL with 3 years of experience. Michelle G Etheridge NPI is 1316648868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5150 BELFORT RD BLDG 400
JACKSONVILLE, FL
ZIP 32256-026
Phone: (904) 580-4730

The NPI 1316648868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2023 and was last updated on 4/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN11025741FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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