Mr. Jackie Wayne Etheridge
APRN, APMHNP | Nurse Practitioner - Psych/Mental Health | 17+ years Exp
242 West Shamrock, Unit 1, Pineville
Louisiana, 71360
318-484-6850
Mr. Jackie Wayne Etheridge is a Pineville, Louisiana based nurse practitioner with 17 years of experience in Psych/Mental Health. He completed his graduation in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jackie Wayne Etheridge is AP05657 for Psych/Mental Health in Louisiana. His current practice location is 242 West Shamrock, Unit 1, Pineville. Patients can reach him at 318-484-6850. Mr. Jackie Wayne Etheridge is APRN, APMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1740515790.
Mr. Jackie Wayne Etheridge provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Jackie Wayne Etheridge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Jackie Wayne Etheridge |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | APRN, APMHNP |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 242 West Shamrock, Unit 1, Pineville,
Louisiana, 71360 |
| Phone: | 318-484-6850 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6305986258 |
| Enrollment ID: | I20091228000322 |
| NPI Number: | 1740515790 |
| NPI Enumeration Date: | 08 Oct, 2009 |
| NPI Last Update On: | 08 Oct, 2009 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jackie Wayne Etheridge are as mentioned below.
| License Number | Specialization | State | Status | |
| AP05657 | Psych/Mental Health | Louisiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jackie Wayne Etheridge is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Central La Human Services District (7618105529) | 19 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Jackie Wayne Etheridge
Po Box 7473,
Alexandria, Louisiana |
| Zip: | 71306-7473 |
| Phone Number: | 318-484-6850 |
| Fax Number: | 318-484-6844 |
Patients can reach Mr. Jackie Wayne Etheridge at
242 West Shamrock, Unit 1, Pineville, Louisiana or can
call to book an appointment on 318-484-6850.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.