Most Relevant Information
Provider Data
| NPI Number: | 1003832361 |
| Provider Name: | JENNIFER LYNN BRIDY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 0024168107 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 10/28/2017 |
Provider Practice Location
1001 SAM PERRY BLVD
FREDERICKSBURG
VA
224014453
Practice Location Phone/Fax
| Phone: | 5407417614 |
| Fax: |
Provider Mailing Location
3100 SPRING FOREST RD STE 130
RALEIGH
NC
276162880
Provider Mailing Phone/Fax
| Phone: | 8882809533 |
| Fax: | 9198739821 |