Bradley, Barbara Ann
Bradley, Barbara Ann is an individual health care provider with primary practice located at 587 Highway 51 Ste T , Ridgeland MS 39157-2567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradley, Barbara Ann can be contacted via phone (601) 790-7711.Contact Information
Primary practice address
587 Highway 51 Ste T
Ridgeland MS 39157-2567
Phone: (601) 790-7711
Fax: (601) 790-7712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R762681 | Mississippi |
Profile Details
| NPI number | 1124064068 |
|---|---|
| LBN Legal business name | Bradley, Barbara Ann |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | May 22nd, 2024 - about 6 months 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 | 1124064068 | NPPES |
| Mississippi | MEDICAID | 07605321 |
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