Individual
BRIDGET JOHNSON-FELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10480 KLEIN RD, SUITE 182, GULFPORT, MS 39503-3511
(228) 328-4471
Mailing address
10480 KLEIN ROAD, SUITE 182, GULFPORT, MS 39503-3518
(228) 328-4471
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
00770492
MS
385H00000X
Respite Care
Primary
06258738
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770492
—
MS
05
—
06258738
—
MS
Enumeration date
05/10/2007
Last updated
09/11/2025
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