Individual
JANA L. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST. AND CIVIC CENTER BLVD., RICHARD D. WOOD CENTER, 1ST FLOOR, PHILADELPHIA, PA 19104-4399
(215) 590-3440
Mailing address
34TH ST. AND CIVIC CENTER BLVD., RICHARD D. WOOD CENTER, 1ST FLOOR, PHILADELPHIA, PA 19104-4399
(215) 590-3440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP006796D
PA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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