Individual
MRS. BRIDGET M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9221 COOK RD, BAILEY, MS 39320-9516
(601) 616-5608
Mailing address
4555 HIGHLAND PARK DR, MERIDIAN, MS 39307-5429
(601) 616-5608
(601) 581-7676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009003248
MS
363LF0000X
Family Nurse Practitioner
MS2126767
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08030788
—
MS
Enumeration date
09/16/2009
Last updated
07/21/2022
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