STONEBRIDGE MEDICAL GROUP PLC NPI 1487977369

NPI Information

NPI: 1487977369
Provider Name: STONEBRIDGE MEDICAL GROUP, PLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
111 STONEBRIDGE BLVD
SUITE B
JACKSON, TN
ZIP 38305
Phone: (731) 661-1008
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STONEBRIDGE MEDICAL GROUP, PLC is an adult health nurse practitioner in Jackson, TN. STONEBRIDGE MEDICAL GROUP, PLC NPI is 1487977369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 STONEBRIDGE BLVD
SUITE B
JACKSON, TN
ZIP 38305-040
Phone: (731) 661-1008
Fax: (731) 410-6778

The provider's authorized official is Jeffrey W Young .
The authorized official title is Owner and has the following contact phone number (731) 661-1008.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 3/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APN7239	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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