BRIDGETT MICHELLE SANDS


Address: 3165 Victoria Park Rd, Jacksonville, FL 32216-5611
Phone: 9047626333

BRIDGETT MICHELLE SANDS (NPI# 1477166635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477166635
Entity Type Individual
Full Name BRIDGETT MICHELLE SANDS
Credential APRN
Practice Address 3165 Victoria Park Rd
Jacksonville
FL 32216-5611
Practice Telephone 9047626333
Mailing Telephone 9047626333
Enumeration Date 2020-08-27
Last Update Date 2020-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11008353 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3165 VICTORIA PARK RD
City JACKSONVILLE
State FL
Zip Code 32216-5611

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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