Individual
MRS. KELLI NICOLE BRIDGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5239
(386) 308-5088
(386) 308-5088
Mailing address
223 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5239
(386) 308-5088
(386) 308-5088
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN164274
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ME73316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448879182A
—
GA
Enumeration date
01/28/2008
Last updated
12/29/2025
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