Individual
JON PAUL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3347
Mailing address
3115 CRAWFORD LOOP, CONWAY, AR 72034-8122
(501) 428-7654
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R106690
AR
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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