Provider Demographics
NPI:1134442338
Name:BRIDGER, JENNIFER RAHN (PA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RAHN
Last Name:BRIDGER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:15 BRAKAS LN
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-5735
Mailing Address - Country:US
Mailing Address - Phone:919-738-2062
Mailing Address - Fax:
Practice Address - Street 1:3675 SW CARY PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8913
Practice Address - Country:US
Practice Address - Phone:919-694-5357
Practice Address - Fax:919-694-5404
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC102966363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant