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NPI Code Detail

MEDICARE: BRIDGE HEALTH & WELLNESS

MEDICARE: BRIDGE HEALTH & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1376485862
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGE HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 1800 PHOENIX BLVD
Second Line : SUITS 128-24
City : ATLANTA
State : GA
Zip : 30349-5593
Country : US
Telephone Number : 401-684-1267
Fax Number : 470-275-0632
Provider Business Practice Location Address
First Line : 1800 PHOENIX BLVD
Second Line : SUITS 128-24
City : ATLANTA
State : GA
Zip : 30349-5593
Country : US
Telephone Number : 401-684-1267
Fax Number : 470-275-0632
Authorized Official
Title or Position : OWNER, FNP
Name : JADE BROWN
Credential :
Telephone Number : 401-684-1267
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/07/2026

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Directions to “BRIDGE HEALTH & WELLNESS ” Practice Location

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