Individual
PAMELA ANNETTE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1125 JUDSON RD STE 150, LONGVIEW, TX 75601-5120
(903) 234-8755
Mailing address
1125 JUDSON RD STE 150, LONGVIEW, TX 75601-5120
(903) 234-8755
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
850765
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1141257
TX
Other
Enumeration date
09/27/2023
Last updated
01/03/2026
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