NPI 1194494351 · live from the CMS NPI Registry
Bridgette Denise Agee, APRN
Nurse Practitioner, Psych/Mental Health in Lakeland, FL. National Provider Identifier 1194494351, active.
NPI record
| NPI | 1194494351 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 5112 Summer Brooke Ln, Lakeland, FL 33811 |
| Practice phone | 863-712-2041 |
| Enumerated | September 10, 2021 |
| Last updated | September 10, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | APRN11015126 (FL) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | APRN11015126 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.