Individual
MS. JESSICA BRIDGEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12805 HIGHWAY 55 STE 111, PLYMOUTH, MN 55441-3860
(763) 520-2222
Mailing address
2935 128TH LN NE, BLAINE, MN 55449-7539
(612) 414-2125
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R 182750-9
MN
Other
Enumeration date
02/15/2015
Last updated
02/15/2015
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