Bridge, Jessica M

Bridge, Jessica M is an individual health care provider with primary practice located at 2600 Tamarack Ave Ste 200 , South Windsor CT 06074-5560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bridge, Jessica M can be contacted via phone (860) 646-1157.

Contact Information

Primary practice address
2600 Tamarack Ave Ste 200 South Windsor CT 06074-5560
Phone: (860) 646-1157
Fax: (860) 646-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM05394 Massachusetts

Profile Details

NPI number 1023572021
LBN Legal business name Bridge, Jessica M
Credentials MSN, CNM, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2019
Last updated Jun 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023572021 NPPES
Massachusetts Other CNM05394 AMCB

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