Most Relevant Information
Provider Data
| NPI Number: | 1003321308 |
| Provider Name: | DIANA LYNN BRIDGES ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9203697 |
Most Important Dates
| Enumeration Date: | 12/08/2017 |
| Last Updated: | 12/08/2017 |
Provider Practice Location
2001 KINGSLEY AVE
ORANGE PARK
FL
320735148
Practice Location Phone/Fax
| Phone: | 9046398500 |
| Fax: |
Provider Mailing Location
PO BOX 600643
JACKSONVILLE
FL
322600643
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |