Individual
JASON E BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 GORWOOD DR, CORAOPOLIS, PA 15108-9374
(412) 336-8550
Mailing address
12161 MERCADO DR # 123, VENICE, FL 34293-1147
(941) 292-0123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11013995
FL
363LF0000X
Family Nurse Practitioner
Primary
SP017959
PA
Other
Enumeration date
09/15/2017
Last updated
09/23/2025
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