| Mrs Kelli Nicole Bridgman, NP | |
|
223 N Causeway, New Smyrna Beach, FL 32169-5239 | |
| (386) 308-5088 | |
| (386) 308-5088 |
| Full Name | Mrs Kelli Nicole Bridgman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 223 N Causeway, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588841977 | NPI | - | NPPES |
| 448879182A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ME73316 (Florida) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | RN164274 (Georgia) | Secondary |
| Entity Name | Psychiatric Services Of Daytona Plcc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891373601 PECOS PAC ID: 7012310485 Enrollment ID: O20210722001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelli Nicole Bridgman, NP 223 N Causeway, New Smyrna Beach, FL 32169-5239 Ph: (386) 308-5088 | Mrs Kelli Nicole Bridgman, NP 223 N Causeway, New Smyrna Beach, FL 32169-5239 Ph: (386) 308-5088 |
Yun Zhao, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Wing Cardiology And Health, Llc, 161 N. Causeway St. C, New Smyrna Beach, FL 32169 Phone: 386-424-8440 Fax: 386-426-8839 | |
Anthony Lagana, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 N Causeway, Suite A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 | |
Lisa F Macdowell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 265 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-423-9161 Fax: 386-423-3094 | |
Mrs. Anne Lind, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1914 State Road 44 Ste B, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 844-295-1379 | |
Dr. Jennifer Lee Williams, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-425-2550 | |
Mrs. Jessica Tapp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-423-0505 | |
Jeff Andrew Baldo Yepez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 N Causeway Ste A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 |