Individual
MS. JEANINE MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
822 SOUTH 17TH STREET, CLARINDA, IA 51632
(712) 542-0702
Mailing address
2769 205TH STREET, CLARINDA, IA 51632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A112514
IA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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