Individual
MS. PATRICIA LYNN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1233 SOUTHWEST AVENUE EXTENSION, JOHNSON CITY, TN 37604-6519
(423) 979-4607
Mailing address
416 E MAIN ST, JONESBOROUGH, TN 37659-1416
(423) 979-4607
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN0000062004
TN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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