Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN BRIDWELL
DeactivatedJEAN BRIDWELL is a Family Nurse Practitioner healthcare provider located in DAVIS, West Virginia. NPI 1104992965 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · DAVIS, WV
This NPI has been deactivated.
The record was deactivated on March 13, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104992965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2006 (7.2958904109589 yrs)
- Last Updated
- Jun 15, 2022
- Deactivated
- Mar 13, 2014
- License
-
67358 (WV)
Practice Information
- Address
-
6368 APPALACHIAN HIGHWAYDAVIS, WV, 26260Browse WV providers · Browse ZIP 26260
- Phone
- 3044783339
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.