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Individual

BRIDGETTE LEANN FENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300
Mailing address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R077105
AR
363LF0000X
Family Nurse Practitioner
Primary
125837
AR

Other

Enumeration date
05/30/2020
Last updated
11/28/2022
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