Healthcare Provider Details

I. General information

NPI: 1750214854
Provider Name (Legal Business Name): BRIDGER ADVANCED PRACTICE NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 OSLER DR STE C
JONESBORO AR
72401-4319
US

IV. Provider business mailing address

115 COUNTY ROAD 345
JONESBORO AR
72401-1020
US

V. Phone/Fax

Practice location:
  • Phone: 870-316-9960
  • Fax:
Mailing address:
  • Phone: 870-316-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CRYSTAL BRIDGER
Title or Position: OWNER
Credential: APRN
Phone: 870-316-9960