Individual
MS. PAMELA DENISE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1115 SILAS CREEK PKWY, WINSTON SALEM, NC 27127-5627
(336) 962-6090
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151422
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5010113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151422
REGISTERED NURSE
NC
Enumeration date
08/07/2017
Last updated
09/25/2025
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