Individual
JESSICA ROSE BRIDGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-0720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-160107
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
5021853
NC
Other
Enumeration date
03/05/2025
Last updated
03/28/2025
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