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
Phone: (859) 744-5111
Fax: (859) 744-1177
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255384210 | NPPES |
| Kentucky | MEDICAID | 78901261 | |
| Kentucky | Other | 6400 | |
| Kentucky | MEDICAID | 78016060 |
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