Bradburn, Jamie G.

Bradburn, Jamie G. is an individual health care provider with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bradburn, Jamie G. can be contacted via phone (859) 744-5111.

Contact Information

Primary practice address
475 Shoppers Dr Winchester KY 40391-1380
Fax: (859) 744-1177
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3004814 Kentucky

Profile Details

NPI number 1255384210
LBN Legal business name Bradburn, Jamie G.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255384210 NPPES
Kentucky MEDICAID 78901261
Kentucky Other 6400
Kentucky MEDICAID 78016060

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