# MRS. KELLI NICOLE BRIDGMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588841977
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | APRN11011937 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | RN164274 | GA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11011937 | FL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ME73316 | FL | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 08/26/2026