Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Nicole Ethridge-Brown, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1093252777

Jillian Nicole Ethridge-Brown, MSN, FNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Licensed in
IL, MO
In the registry since
2017
Specialties on file
5
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4438 Telegraph Rd
Saint Louis, MO 63129-3316
Phone: (314) 742-6000
Fax: (314) 742-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1296 Jeffco Blvd, Arnold, MO 63010-2138 — (636) 321-8610
  • 660a S Truman Blvd, Festus, MO 63028 — (636) 931-3800
  • 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 — (314) 520-0520
  • 13270 Shady Green Dr, Saint Louis, MO 63128-3842 — (314) 402-5485

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016034571 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2016034571 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2008021433 (MO)
Flight Registered Nurse Taxonomy 163WF0300X · Licence 2008021433 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 041425190 (IL)

Record details

NPI number1093252777
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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