Bradley, Jillian Larissa

Bradley, Jillian Larissa is an individual health care provider with primary practice located at 42 Wright St , Palmer MA 01069-1156. 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, Jillian Larissa can be contacted via phone (413) 370-5285.

Contact Information

Primary practice address
42 Wright St Palmer MA 01069-1156
Phone: (413) 370-5285
Fax: (413) 370-5384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2328085 Massachusetts

Profile Details

NPI number 1871110221
LBN Legal business name Bradley, Jillian Larissa
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2020
Last updated Aug 15th, 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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