person
Ms. Eddie Ruth Bradford, FNP
Family Nurse Practitioner in Lula, Mississippi
NPI 1366599508

Eddie Ruth Bradford is a Family Nurse Practitioner based in Lula, MS and is specialized in Family. Eddie Ruth Bradford practices in Lula, MS and has the professional credentials of FNP. The NPI Number for Eddie Ruth Bradford is 1366599508 and holds a License No. R659975 (Mississippi).

The current practice location address for Eddie Ruth Bradford is 777 Isle Of Capri Pkwy, Lula, MS and can be reached out via phone at 662-337-4554 and via fax at 662-337-4564.

Location: 777 Isle Of Capri Pkwy, Lula, MS, 38644-9701
person
Provider Profile Details
NPI Number
1366599508
Provider Name
Eddie Ruth Bradford
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
777 Isle Of Capri Pkwy, Lula, MS, 38644-9701
Phone Number
662-337-4554
Fax Number
662-337-4564
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191427758 05 AR
00119310 05 MS
institution
Provider Business Practice Location Address Details
Address
777 Isle Of Capri Pkwy
City
State
Zip
38644-9701
Phone Number
662-337-4554
Fax Number
662-337-4564
person
Provider Business Mailing Address Details
Address
777 Isle Of Capri Pkwy
City
State
Zip
38644-9701
Phone Number
662-337-4554
Fax Number
662-337-4564
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R659975 (Mississippi)
Definition
Definition to come...
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