Bradley, Jennifer

Bradley, Jennifer is an individual health care provider with primary practice located at 701 10Th St Se , Cedar Rapids IA 52403-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bradley, Jennifer can be contacted via phone (319) 369-4777.

Contact Information

Primary practice address
701 10Th St Se Cedar Rapids IA 52403-1251
Phone: (319) 369-4777
Fax: (319) 369-4694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G095464 Iowa

Profile Details

NPI number 1013978089
LBN Legal business name Bradley, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013978089 NPPES
Iowa MEDICAID 0442376

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