Individual
JACQUELYN KATE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 NC 226 S, MARION, NC 28752-8741
(828) 655-3231
Mailing address
3100 NC 226 S, MARION, NC 28752-8741
(828) 655-3231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199376
NC
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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