Provider Demographics
NPI:1528755543
Name:BRIGHT, ABIGAIL JANE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JANE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10270 MATTHEWS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5150
Mailing Address - Country:US
Mailing Address - Phone:804-296-8961
Mailing Address - Fax:
Practice Address - Street 1:10270 MATTHEWS GROVE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5150
Practice Address - Country:US
Practice Address - Phone:804-296-8961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant