Individual
MISTI DAWN BRYANT BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 N FREDONIA ST, LONGVIEW, TX 75601-6464
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1044452
TX
Other
Enumeration date
03/21/2022
Last updated
08/26/2025
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