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Bridgette Johnson
NPI 1912695016 · on the registry since 2023
Practice
- Address
- 13143 Egypt Shores Rd
Creal S Prings, IL 62959 - Phone
- (618) 923-0499
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois