Individual
MS. LISA RENEE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
423 MAGNOLIA ST, MARION, AR 72364-2811
(901) 562-9464
Mailing address
423 MAGNOLIA ST, MARION, AR 72364-2811
(901) 562-9464
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A003446
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/26/2019
Last updated
03/26/2019
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