Organization
BRAD HARRELL, DNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY RAY HARRELL DNP, APRN, ACNP-BC (OWNER)
(731) 460-6043
Entity
Organization
Contact information
Practice address
233 LACKEY LN, RIPLEY, TN 38063-1619
(731) 460-6043
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
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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