Provider Demographics
NPI:1588949432
Name:BARROW, BRIDGET APRIL (NP)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:APRIL
Last Name:BARROW
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 1:103 GA HIGHWAY 27 E
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3800
Mailing Address - Country:US
Mailing Address - Phone:229-924-8082
Mailing Address - Fax:
Practice Address - Street 1:105 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:GA
Practice Address - Zip Code:31063-1902
Practice Address - Country:US
Practice Address - Phone:478-472-4633
Practice Address - Fax:478-472-4637
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN135517363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003154732CMedicaid