Individual
MRS. SHEILA DIANE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3115 AUDUBON DR, LAUREL, MS 39440-1913
(601) 531-2200
(061) 531-2220
Mailing address
3115 AUDUBON DR, LAUREL, MS 39440-1913
(601) 531-2200
(601) 531-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R548669
MS
Other
Enumeration date
11/30/2006
Last updated
02/24/2021
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