Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle G Etheridge

Individual provider Family Nurse Practitioner · NPI 1316648868

Michelle G Etheridge is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Ibrahim Heart Clinic PLLC, a 42-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

5150 Belfort Rd Bldg 400
Jacksonville, FL 32256-6026
Phone: (904) 580-4730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11025741 (FL)

Record details

NPI number1316648868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESApril 16, 2023
Certification dateApril 16, 2023
Mailing address2120 Cherokee Cove Trl, Jacksonville, FL 32221-4930

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ibrahim Heart Clinic Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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