Jennifer Bradley
Nurse Practitioner - Psychiatric/Mental Health
701 10th St Se
Cedar Rapids
, Iowa 52403-1251
Jennifer Bradley
Nurse Practitioner - Psychiatric/Mental Health
701 10th St Se
Cedar Rapids
, Iowa 52403-1251
(319) 369-4677
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jennifer Bradley
- Po Box 1824
- Cedar Rapids, IA
- Zip : 52406-1824
- Fax : (319) 369-4677
- Phone : (319) 369-4505
Second Address
- Jennifer Bradley
- 701 10th St Se
- Cedar Rapids, IA
- Zip : 52403-1251
- Fax : (319) 369-4694
- Phone : (319) 369-4777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | G095464 | IA |
National Provider Identifier
| NPI | 1013978089 |
|---|---|
| Provider Name | Jennifer Bradley |
| First Address | Cedar Rapids, IA 52406-1824 |
| Second Address | Cedar Rapids, IA 52403-1251 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0442376 | (05) | IA |
| Q23364 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.