Individual
JESSICA M BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, WHNP
Contact information
Practice address
2600 TAMARACK AVE STE 200, SOUTH WINDSOR, CT 06074-5560
(860) 646-1157
(860) 646-9877
Mailing address
2600 TAMARACK AVE STE 200, SOUTH WINDSOR, CT 06074-5560
(860) 646-1157
(860) 646-9877
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM05394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNM05394
AMCB
MA
Enumeration date
01/24/2019
Last updated
06/10/2022
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