Individual
BRIDGET MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604-6972
(423) 431-2477
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024185121
VA
363LF0000X
Family Nurse Practitioner
Primary
27743
TN
Other
Enumeration date
09/16/2020
Last updated
02/25/2025
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