Individual
BRADLEY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2600
Mailing address
2336 E MANOR DR, JACKSON, MS 39211-6209
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
902913
MS
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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