Individual
MRS. JO ANN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7564 MOUNTAIN GROVE DR, KNOXVILLE, TN 37920-6754
(865) 632-5885
(865) 632-5893
Mailing address
7564 MOUNTAIN GROVE DR, KNOXVILLE, TN 37920-6754
(865) 632-5885
(865) 632-5893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TN0106
JOHNDEERE
TN
Enumeration date
05/23/2006
Last updated
11/01/2010
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