Individual
JAKELL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6004
Mailing address
9215 TOWN RDG, MIDDLETOWN, CT 06457-6554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7077
CT
363LF0000X
Family Nurse Practitioner
Primary
7077
CT
Other
Enumeration date
07/12/2017
Last updated
03/24/2025
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