Organization
INSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ANNETTE BRADLEY APRN-CP, PMHNP-BC (NURSE PRACTITIONER)
(903) 277-2853
Entity
Organization
Contact information
Practice address
1328 HERITAGE BLVD OFC 5, LONGVIEW, TX 75605-1472
(903) 277-2853
Mailing address
1328 HERITAGE BLVD OFC 5, LONGVIEW, TX 75605-1472
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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