MRS. JUANITA FELTON BRIDGES M.S.L.D.N.R.D.CDE NPI 1841269743

NPI Information

NPI: 1841269743
Provider Name: MRS. JUANITA FELTON BRIDGES, M.S.,L.D.N.,R.D.,CDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
510 EAST STONER AVENUE, #120
OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA
ZIP 71101
Phone: (318) 990-5189
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MRS. Juanita Felton Bridges, M.S.,L.D.N.,R.D.,CDE is a nutrition and metabolic dietitian registered in Shreveport, LA. MRS. Juanita Felton Bridges, M.S.,L.D.N.,R.D.,CDE NPI is 1841269743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 EAST STONER AVENUE, #120
OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA
ZIP 71101
Phone: (318) 990-5189
Fax: (318) 990-5724

The enumeration date for this NPI number is 3/15/2006 and was last updated on 2/26/2013.

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	133VN1006X	Dietitian, Registered	Nutrition, Metabolic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16541	OTHER	LOUISIANA	CDR NUMBER
2	1095	OTHER	LOUISIANA	LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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