Individual
MRS. BRIDGETTE DEMETRE BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
853 JEFFERSON AVE # 206, MEMPHIS, TN 38103-2807
(901) 448-6728
(901) 448-1691
Mailing address
PO BOX 28665, JACKSONVILLE, FL 32226-8665
(904) 751-9415
(904) 751-9415
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
13211
TN
363LN0000X
Neonatal Nurse Practitioner
R856553
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107530A
—
GA
05
—
0033972-00
—
FL
Enumeration date
10/11/2006
Last updated
05/12/2011
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