Bradley, V Jean

Bradley, V Jean is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Suite 300, Fort Wayne IN 46804-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bradley, V Jean can be contacted via phone (260) 432-1800.

Contact Information

Primary practice address

7910 W Jefferson Blvd Suite 300 Fort Wayne IN 46804-4159

Phone: (260) 432-1800

Fax: (260) 432-1804

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	71001398	Indiana

Profile Details

NPI number	1770535668
LBN Legal business name	Bradley, V Jean
Credentials	Nurse Practitioner (NP)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 17th, 2006
Last updated	Nov 5th, 2010 - about 14 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

State	Type	Number	Issuer
All States	NPI	1770535668	NPPES
Indiana	MEDICAID	200406350

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