MEDICARE: MRS. JENNIFER RAHN BRIDGER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	102966	NC

General Provider Information

NPI Number	:	1134442338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER RAHN BRIDGER PA

Provider Business Mailing Address
First Line	:	15 BRAKAS LN
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-5735
Country	:	US
Telephone Number	:	919-738-2062
Fax Number	:	919-964-3122

Provider Business Practice Location Address
First Line	:	4879 NC HIGHWAY 42 E STE G
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-5298
Country	:	US
Telephone Number	:	919-576-0716
Fax Number	:	919-964-3122

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	03/06/2026

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