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General NPI Number Information
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NPI Number | 1407646771
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Entity Type | Organization
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Legal Business Name | BRIDGECARE HEALTH NAVIGATORS, LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 6135 CLINTON TINNIN RD
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City | JACKSON
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State | MS
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Zip | 39209-9121
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Country | US
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Telephone | 662-614-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 6135 CLINTON TINNIN RD
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City | JACKSON
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State | MS
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Zip | 39209-9121
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Country | US
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Telephone | 662-614-0500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHANEKA SIMMONS PATTERSON
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Credential | DNP, APRN, FNP-C
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Telephone | 662-614-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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