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NPI Code Detail

MEDICARE: JESSICA BRIDGFORTH APRN

MEDICARE: JESSICA BRIDGFORTH APRN
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
1363L00000XNurse Practitioner3013775KY

General Provider Information

NPI Number : 1497305262
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BRIDGFORTH APRN
Provider Business Mailing Address
First Line : 800 HOSPITAL DR FL 3
Second Line :
City : MADISONVILLE
State : KY
Zip : 42431-1658
Country : US
Telephone Number : 270-326-5000
Fax Number : 270-326-5007
Provider Business Practice Location Address
First Line : 800 HOSPITAL DR FL 3
Second Line :
City : MADISONVILLE
State : KY
Zip : 42431-1658
Country : US
Telephone Number : 270-326-5000
Fax Number : 270-326-5007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 06/04/2026

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