Provider Demographics
NPI:1912559980
Name:DOZIER, BRIDGETTE (FNP-BC)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:DOZIER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7104 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408-4984
Mailing Address - Country:US
Mailing Address - Phone:850-463-0124
Mailing Address - Fax:706-391-6752
Practice Address - Street 1:7104 QUAIL HOLLOW DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408-4984
Practice Address - Country:US
Practice Address - Phone:850-463-0124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009774363L00000X
GARN231326363L00000X
FL1912559980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner