Individual
HEATHER BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
612 S CONGRESS BLVD STE A, SMITHVILLE, TN 37166-2009
(931) 626-9339
Mailing address
1030 S MOUNTAIN ST, SMITHVILLE, TN 37166-2143
(931) 626-9339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
37253
TN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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