Individual
JOSEPH SCOTT BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 517-9485
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 517-9485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R882633
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
904898
MS
Other
Enumeration date
01/13/2020
Last updated
09/17/2021
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