Individual provider · NPI-1

John Bridges

Nurse Practitioner, Family · Cordele, GA

NPI number1891301701
StatusActive
Last updated in NPPESApr 29, 2026

Details

NPI
1891301701
Entity type
Individual (NPI-1)
Name
John Bridges
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 17, 2020
Certification date
Apr 29, 2026
Last updated
Apr 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Familyrn220201GAYes

Practice location

201 E 16th Ave
Cordele, GA 31015-1623

Phone 229-273-8501 · Fax 229-212-8115

Mailing address

201 E 16th Ave
Cordele, GA 31015-1623

Phone 229-273-8501 · Fax 229-212-8115

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