Provider Demographics
NPI:1922209303
Name:SPILLERS, BRIDGETT DAWN (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:DAWN
Last Name:SPILLERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8529 REFUGE POINT CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-6880
Mailing Address - Country:US
Mailing Address - Phone:843-303-9278
Mailing Address - Fax:
Practice Address - Street 1:1822 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6253
Practice Address - Country:US
Practice Address - Phone:888-605-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily