Individual
MS. JACQUELINE JONES BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 388-1740
Mailing address
4900 MASSACHUSETTS AVE NW, STE 250, WASHINGTON, DC 20016-4316
(202) 629-3536
(202) 379-1485
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
R089410
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
RN51705
DC
Other
Enumeration date
12/29/2006
Last updated
07/15/2019
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