| NPI | 1073488714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEIKE ALEXANDRA BRIDGEMAN Co Owner, Fnp Bc 731-336-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-11-07 |