Mary Katherine Bridges, FNP, AGACNP
Nurse Practitioner in Slidell, LA. Individual provider (NPI-1).
NPI number1164072591
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1164072591
- Entity type
- Individual (NPI-1)
- Name
- Mary Katherine Bridges
- Credential
- FNP, AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2019
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 226773 | LA | Yes |
| 163W00000X | Registered Nurse | 927072 | MS | |
| 363L00000X | Nurse Practitioner | 906858 | MS |
Practice location
1001 Gause BlvdSlidell, LA 70458-2939
Phone 985-280-2200
Mailing address
12078 Grand Oaks DrGulfport, MS 39503-5683
Phone 865-228-4036
Other practice locations
149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Bay St Louis, MS 39520-1658
Phone 228-467-8600
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All 16 Nurse Practitioner providers in Slidell · All 2,622 providers in Slidell
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