| NPI | 1982690202 |
|---|---|
| Former Name | JENNIFER L BRIDGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 005180) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C089082) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K089082) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 005180) | |
| 163W00000X Registered Nurse (Licence: CT 108351) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-12-10 |