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Mrs. Kelli Nicole Bridgman, NP
Psychiatric/Mental Health Nurse Practitioner in Port Orange, Florida
NPI 1588841977

Kelli Nicole Bridgman is a Psychiatric/Mental Health Nurse Practitioner based in Daytona Beach, FL and is specialized in Psychiatric/Mental Health. Kelli Nicole Bridgman practices in Port Orange, FL and has the professional credentials of NP. The NPI Number for Kelli Nicole Bridgman is 1588841977 and holds a License No. RN164274 (Florida).

The current practice location address for Kelli Nicole Bridgman is 804 Dunlawton Ave Ste 1, Port Orange, FL and can be reached out via phone at 386-767-8584.

Location: 804 Dunlawton Ave Ste 1, Port Orange, FL, 32114-1477
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Provider Profile Details
NPI Number
1588841977
Provider Name
Kelli Nicole Bridgman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
804 Dunlawton Ave Ste 1, Port Orange, FL, 32114-1477
Phone Number
386-767-8584
Fax Number
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
448879182A 05 GA
institution
Provider Business Practice Location Address Details
Address
804 Dunlawton Ave Ste 1
City
State
Zip
32127-4931
Phone Number
386-767-8584
Fax Number
person
Provider Business Mailing Address Details
Address
804 Dunlawton Ave Ste 1
City
State
Zip
32127-4931
Phone Number
386-767-8584
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
ME73316 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN164274 (Georgia)
Definition
Definition to come...
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