Individual
DR. BRADLEY R HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, ACNP-BC
Contact information
Practice address
202 TUCKER AVE, RIPLEY, TN 38063
(731) 635-4741
Mailing address
233 LACKEY LN, RIPLEY, TN 38063-1619
(731) 460-6043
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519950
—
TN
Enumeration date
04/24/2010
Last updated
11/21/2019
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