Provider Demographics
NPI:1275424731
Name:EVANS, BRIDGETTE J (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:J
Last Name:EVANS
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 HIGHWAY 225 W
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9454
Mailing Address - Country:US
Mailing Address - Phone:501-314-4655
Mailing Address - Fax:
Practice Address - Street 1:416 HIGHWAY 225 W
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-9454
Practice Address - Country:US
Practice Address - Phone:501-314-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR213748363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health