Individual
AMANDA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
(931) 438-3444
(931) 433-1142
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
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
03/22/2022
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