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Individual

HALEY NICOLE BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
206 CEDAR LN, KNOXVILLE, TN 37912-3507
(865) 666-3640
Mailing address
206 CEDAR LN, KNOXVILLE, TN 37912-3507
(865) 666-3640

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35051
TN

Other

Enumeration date
11/06/2023
Last updated
07/10/2025
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