Provider Demographics
NPI:1407137540
Name:MCQUAIG, BRIDGETTE (ARNP, DNP)
Entity Type:Individual
Prefix:DR
First Name:BRIDGETTE
Middle Name:
Last Name:MCQUAIG
Suffix:
Gender:F
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10898 BAYMEADOWS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-5837
Mailing Address - Country:US
Mailing Address - Phone:904-363-2733
Mailing Address - Fax:904-363-3484
Practice Address - Street 1:10898 BAYMEADOWS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-5837
Practice Address - Country:US
Practice Address - Phone:904-363-2733
Practice Address - Fax:904-363-3484
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9237349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9237349OtherLICENSE