Individual
MRS. BRIDGET MICHELLE WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5895
(740) 395-8843
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1949
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
110308
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342119
—
OH
Enumeration date
11/16/2018
Last updated
01/19/2024
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