P Praxis·MD
● Active Type 1 · Individual

MRS. Josette Etienne, FNP-C

Nurse Practitioner·Villa Rica, GA· NPI 1396138368 · Enumerated 2015 · 11 years on NPI
Etienne is 1 of 24 nurse practitioner providers in Villa Rica and 1 of 8826 in Georgia.
NPI age
11 years
Enumerated 2015-03-13
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-03Enumerated in NPPES
2015 2026

Where they practice

Practice location
403 Permian Way Suite A
Villa Rica, GA 30180
📞 7707715235fax 6789522108
Mailing address
403 Permian Way Suite A
Villa Rica, GA 30180
📞 7707715235fax 6789522108

Additional practice locations

1 secondary location on file with NPPES.

Location 2
403 Permian Way Ste A
Villa Rica, GA 301803226
📞 7707715235fax 6789522108

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN167551GA license #F0315251 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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