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

Mrs. Josette Etienne, FNP-C

Individual provider Family Nurse Practitioner · NPI 1396138368

Mrs. Josette Etienne, FNP-C is a Nurse Practitioner in Villa Rica, Georgia. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

403 Permian Way Ste A
Villa Rica, GA 30180
Phone: (770) 771-5235
Fax: (678) 952-2108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 403 Permian Way Ste A, Villa Rica, GA 30180-3226 — (770) 771-5235

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN167551 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0315251 (GA)

Record details

NPI number1396138368
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 13, 2015
Last updated in NPPESDecember 28, 2025
Certification dateDecember 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Villa Rica