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Individual

MS. JANE ELLEN BRIDGES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
804 AINSWORTH DR, SUITE 104, PRESCOTT, AZ 86301-1624
(928) 778-1736
(928) 717-0785
Mailing address
3080 ADOBE SPRINGS DR, PRESCOTT, AZ 86301-6664
(928) 717-0882

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN127822
AZ

Other

Enumeration date
03/30/2006
Last updated
07/08/2007
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