Provider Demographics
NPI:1801286190
Name:BRIDGES, ASHLEY CHENEISE (RN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CHENEISE
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 LANG RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-8625
Mailing Address - Country:US
Mailing Address - Phone:601-783-3964
Mailing Address - Fax:
Practice Address - Street 1:2054 LANG RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-8625
Practice Address - Country:US
Practice Address - Phone:601-783-3964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR872427251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health