1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Nurse Practitioner
  6. NPI Profile

JACQUALINE BRIDGEWATER NP
NPI 1316302102
Nurse Practitioner - Family in Indianapolis, IN

Active since December 21, 2015
1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 988-4484 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqualine Bridgewater Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUALINE BRIDGEWATER NP (NPI 1316302102) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (28126078A) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1316302102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUALINE BRIDGEWATERCredential: NP
Location Address1481 W 10TH STIndianapolis, IN 46202-2803
Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (317) 988-4484
Phone(317) 988-4484
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateJune 6, 2016
✔ NPI 1316302102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28126078A
1481 W 10TH ST, Indianapolis, IN 46202
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SATISH KENCHAIAH MD, MPH
Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-4989
JAMES ALEXIS LEYVA AU.D.
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-2233
JAMES DAVID MIDDLETON RD
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (765) 635-8310
STEPHEN MARK JOHNSON LCSW
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (812) 478-1803
AMANDA SWINEA
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 544-8983
DEBORAH K SIEFERT NURSE PRACTITIONER
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0181
SHAWN FAUVER FNP
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (313) 554-0000
PHYLLIS L ARTHUR
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqualine Bridgewater's NPI number?

The NPI number for Jacqualine Bridgewater is 1316302102. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Jacqualine Bridgewater located?

Jacqualine Bridgewater practices at 1481 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 988-4484.

What is Jacqualine Bridgewater's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacqualine Bridgewater was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.