Individual
NICOLE LYNN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W EMERSON ST, PRINCETON, IN 47670-1330
(812) 664-2270
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2420
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28231868A
IN
363L00000X
Nurse Practitioner
71012748A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28231868A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71012748A
APRN LICENSE
IN
Enumeration date
07/08/2022
Last updated
03/05/2026
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