Provider Demographics
NPI:1306442330
Name:BEARD, BRIDGETTE VERA (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:VERA
Last Name:BEARD
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 KATHERINE SUZANNE WAY
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3371
Mailing Address - Country:US
Mailing Address - Phone:615-225-7445
Mailing Address - Fax:
Practice Address - Street 1:940 NEW SALEM HWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3335
Practice Address - Country:US
Practice Address - Phone:615-904-3075
Practice Address - Fax:615-904-3175
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28774363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health