Individual
AMANDA J BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN
Contact information
Practice address
205 NORTH EAST AVE, 5TH FLOOR COMPREHENSIVE CLINICAL CARE, JACKSON, MI 49201
(517) 205-7515
Mailing address
205 NORTH EAST AVE, 5TH FLOOR COMPREHENSIVE CLINICAL CARE, JACKSON, MI 49201
(517) 205-7515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704265861
MI
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
2023127914
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2023
Last updated
10/31/2023
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