person
Katherine Elaine Bradley, FNP
Family Nurse Practitioner in Bristol, Tennessee
NPI 1154416329

Katherine Elaine Bradley is a Family Nurse Practitioner based in Gate City, TN and is specialized in Family. Katherine Elaine Bradley practices in Bristol, TN and has the professional credentials of FNP. The NPI Number for Katherine Elaine Bradley is 1154416329 and holds a License No. 0017138087 (Tennessee).

The current practice location address for Katherine Elaine Bradley is 615 Volunteer Parkway, Bristol, TN and can be reached out via phone at 423-989-3223.

Location: 615 Volunteer Parkway, Bristol, TN, 24251-4142
person
Provider Profile Details
NPI Number
1154416329
Provider Name
Katherine Elaine Bradley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
615 Volunteer Parkway, Bristol, TN, 24251-4142
Phone Number
423-989-3223
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4046961 05 TN
4401061 05 TN
4100703 01 TN BLUE CROSS/BLUE SHIELD
TN0103 01 VA JOHN DEERE
020684999 01 VA TAX ID
DA3103 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
615 Volunteer Parkway
City
State
Zip
37620
Phone Number
423-989-3223
Fax Number
person
Provider Business Mailing Address Details
Address
615 Volunteer Parkway
City
State
Zip
37620
Phone Number
423-989-3223
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0017138087 (Virginia)
Definition
Definition to come...
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