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Individual

JAIME MICHELLE BRADLEY-MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3991 DUTCHMANS LN STE 405, LOUISVILLE, KY 40207-4723
(028) 993-3665
(502) 899-6686
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011049
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300006204
IN
05
7100449760
KY
01
K213690
MEDICARE
KY
Enumeration date
01/23/2017
Last updated
02/07/2023
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