Bradley, Jennifer

Bradley, Jennifer is an sole proprietor health care provider with primary practice located at 3920 St Francis Way Ste 100 , Lafayette IN 47905-4917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bradley, Jennifer can be contacted via phone (765) 428-5990.

Contact Information

Primary practice address
3920 St Francis Way Ste 100 Lafayette IN 47905-4917
Phone: (765) 428-5990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 28186289A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010119A Indiana

Profile Details

NPI number 1740802073
LBN Legal business name Bradley, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2020
Last updated Jul 19th, 2022 - about 2 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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