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

Shannon Ethridge

Individual provider Nurse's Aide · NPI 1205433943

Shannon Ethridge is a Nurse's Aide in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

3006 Ribault Scenic Dr
Jacksonville, FL 32208-2477
Phone: (904) 554-1696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 163236 (FL)

Record details

NPI number1205433943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address3006 Ribault Scenic Dr, Jacksonville, FL 32208-2477

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