person
Mrs. Lisa Yvonne Bradshaw-small, APRN,BC
Family Nurse Practitioner in Stone Mountain, Georgia
NPI 1043330301

Lisa Yvonne Bradshaw-small is a Family Nurse Practitioner based in Stone Mountain, GA and is specialized in Family. Lisa Yvonne Bradshaw-small practices in Stone Mountain, GA and has the professional credentials of APRN,BC. The NPI Number for Lisa Yvonne Bradshaw-small is 1043330301 and holds a License No. RN141141 (Georgia).

The current practice location address for Lisa Yvonne Bradshaw-small is 6269 Greenock Dr, Stone Mountain, GA and can be reached out via phone at 404-819-9665 and via fax at 678-825-6030.

Location: 6269 Greenock Dr, Stone Mountain, GA, 30087-6081
person
Provider Profile Details
NPI Number
1043330301
Provider Name
Lisa Yvonne Bradshaw-small
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
6269 Greenock Dr, Stone Mountain, GA, 30087-6081
Phone Number
404-819-9665
Fax Number
678-825-6030
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6269 Greenock Dr
City
State
Zip
30087-6081
Phone Number
404-819-9665
Fax Number
678-825-6030
person
Provider Business Mailing Address Details
Address
6269 Greenock Dr
City
State
Zip
30087-6081
Phone Number
404-819-9665
Fax Number
678-825-6030
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
RN141141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN141141 (Georgia)
Definition
Definition to come...
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