Individual
AMANDA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 MEDICAL CENTER BLVD STE 150, FAYETTEVILLE, TN 37334-2743
(931) 433-1105
(931) 433-1171
Mailing address
108 MEDICAL CENTER BLVD STE 150, FAYETTEVILLE, TN 37334-2743
(931) 438-3478
(931) 433-1171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14037
LICENSE
TN
05
—
1513118
—
TN
Enumeration date
04/09/2009
Last updated
06/11/2026
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