Individual
JENNA ALEXANDRIA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32393 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3407
(410) 713-8099
Mailing address
32375 LIGHTHOUSE RD, SELBYVILLE, DE 19975-3407
(410) 713-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0013318
DE
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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