Provider Demographics
NPI:1548631203
Name:CLIFTON, BRIDGETTE (AGNP-C)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3628
Mailing Address - Country:US
Mailing Address - Phone:336-202-5202
Mailing Address - Fax:
Practice Address - Street 1:519 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3628
Practice Address - Country:US
Practice Address - Phone:336-202-5202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007947363LG0600X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology