Individual
MRS. JENNIFER ANNE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
500 N WASHINGTON ST STE 300, FALLS CHURCH, VA 22046-3514
(703) 517-1436
Mailing address
4723 GAINSBOROUGH DR, FAIRFAX, VA 22032-2380
(240) 314-9507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001161243
VA
163WL0100X
Lactation Consultant (Registered Nurse)
L-36951
VA
Other
Enumeration date
04/25/2020
Last updated
01/16/2026
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