Bradford, Sheila Diane

Bradford, Sheila Diane is an individual health care provider with primary practice located at 3115 Audubon Dr , Laurel MS 39440-1913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradford, Sheila Diane can be contacted via phone (601) 531-2200.

Contact Information

Primary practice address
3115 Audubon Dr Laurel MS 39440-1913
Fax: (061) 531-2220
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R548669 Mississippi

Profile Details

NPI number 1700954765
LBN Legal business name Bradford, Sheila Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 24th, 2021 - about 3 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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