Individual
JACQUELINE MAHONY BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
25 CONSTITUTION BLVD S, SHELTON, CT 06484-4351
(203) 924-7334
(203) 922-0004
Mailing address
25 CONSTITUTION BLVD S, SHELTON, CT 06484-4351
(203) 924-7334
(203) 922-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135754
CT
363LF0000X
Family Nurse Practitioner
Primary
10727
CT
Other
Enumeration date
04/11/2022
Last updated
07/11/2022
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