Bradley, Jessica Cruz

Bradley, Jessica Cruz is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bradley, Jessica Cruz can be contacted via phone (864) 522-3700.

Contact Information

Primary practice address
7 Independence Pt Ste 300 Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 205719 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 20239 South Carolina

Profile Details

NPI number 1972957652
LBN Legal business name Bradley, Jessica Cruz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Feb 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972957652 NPPES
South Carolina MEDICAID AN2575

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