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

Mr. Jackie Wayne Etheridge, APRN, APMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740515790

Mr. Jackie Wayne Etheridge, APRN, APMHNP is a Psychiatric/Mental Health Nurse Practitioner in Pineville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.

Licensed in
LA
In the registry since
2009
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

242 W Shamrock Unit 1
Pineville, LA 71360
Phone: (318) 484-6850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP05657 (LA)

Record details

NPI number1740515790
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , APMHNP
Sole proprietorNo
NPI enumeratedOctober 8, 2009
Last updated in NPPESOctober 8, 2009

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