Individual
JENNIFER DAWN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
230 GEORGE ST STE 2, BECKLEY, WV 25801-2620
(304) 255-2878
Mailing address
230 GEORGE STREET, SUITE 2, BECKLEY, WV 25801
(304) 255-2878
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
121948
WV
Other
Enumeration date
01/24/2025
Last updated
03/30/2026
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