JENNIFER BRADLEY NPI 1740802073

NPI Information

NPI: 1740802073
Provider Name: JENNIFER BRADLEY
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3920 ST FRANCIS WAY STE 100
LAFAYETTE, IN
ZIP 47905
Phone: (765) 428-5990
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Jennifer Bradley is a family nurse practitioner in Lafayette, IN. Jennifer Bradley NPI is 1740802073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3920 ST FRANCIS WAY STE 100
LAFAYETTE, IN
ZIP 47905-917
Phone: (765) 428-5990

The NPI 1740802073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2020 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	28186289A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71010119A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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