Provider Demographics
NPI:1477232007
Name:BRIDGERS, SIERRA DORRIS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:DORRIS
Last Name:BRIDGERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:DORRIS
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:128 GREYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-5027
Mailing Address - Country:US
Mailing Address - Phone:615-719-0348
Mailing Address - Fax:
Practice Address - Street 1:1609 JONES ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3718
Practice Address - Country:US
Practice Address - Phone:615-433-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily