Individual
JENNA GRACE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3751
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14285
NC
363A00000X
Physician Assistant
—
NC
Other
Enumeration date
06/21/2024
Last updated
06/27/2024
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