Individual
JEFFREY BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-FNP
Contact information
Practice address
4409 WALTHER AVE, BALTIMORE, MD 21214-3300
(443) 280-4397
Mailing address
5501 LOCH RAVEN BLVD, BALTIMORE, MD 21239-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217930
MD
Other
Enumeration date
07/20/2022
Last updated
08/08/2024
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