Bridges, Lisa Renee

Bridges, Lisa Renee is an individual health care provider with primary practice located at 423 Magnolia St , Marion AR 72364-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bridges, Lisa Renee can be contacted via phone (901) 562-9464.

Contact Information

Primary practice address
423 Magnolia St Marion AR 72364-2811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A003446 Arkansas

Profile Details

NPI number 1083175848
LBN Legal business name Bridges, Lisa Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Mar 26th, 2019 - about 7 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 1083175848 NPPES
Other NONE NONE

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