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General NPI Number Information
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NPI Number | 1073488714
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY FAMILY CLINIC PLLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 549 E UNION ST
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City | GLEASON
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State | TN
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Zip | 38229-7209
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Country | US
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Telephone | 731-333-0957
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Fax | 833-764-4567
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Provider Business Mailing Address
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Address Line | 549 E UNION ST
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City | GLEASON
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State | TN
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Zip | 38229-7209
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Country | US
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Telephone | 731-333-0957
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Fax | 833-764-4567
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Authorized Official
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Title or Position | CO-OWNER, FNP-BC
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Name | MEIKE ALEXANDRA BRIDGEMAN
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Credential | NURSE PRACTITIONER
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Telephone | 731-336-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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