Peterson, Bridget B.

Peterson, Bridget B. is an individual health care provider with primary practice located at 1812 E Lamar Alexander Pkwy , Maryville TN 37804-5283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Bridget B. can be contacted via phone (865) 980-5200.

Contact Information

Primary practice address
1812 E Lamar Alexander Pkwy Maryville TN 37804-5283
Fax: (865) 246-2106
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 5961 Tennessee

Profile Details

NPI number 1215908462
LBN Legal business name Peterson, Bridget B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215908462 NPPES
Tennessee MEDICAID 3814930

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