Provider Demographics
NPI:1265124192
Name:HERRING, BRIDGET (NP)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:
Last Name:HERRING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 ELLA BELL RUN
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-2305
Mailing Address - Country:US
Mailing Address - Phone:703-638-3701
Mailing Address - Fax:
Practice Address - Street 1:2470 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7210
Practice Address - Country:US
Practice Address - Phone:252-847-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHERR-TXYEO363LF0000X
NC5018131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily