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Shelby Lauren Bradley
Student in an Organized Health Care Education/Training Program in Jackson, Alabama
NPI 1417546300

Shelby Lauren Bradley is a Student in an Organized Health Care Education/Training Program based in Jackson, AL. Shelby Lauren Bradley practices in Jackson, AL. The NPI Number for Shelby Lauren Bradley is 1417546300 and holds a License No. (Alabama).

The current practice location address for Shelby Lauren Bradley is 306 Chesley Ave, Jackson, AL and can be reached out via phone at 251-589-9217.

Location: 306 Chesley Ave, Jackson, AL, 36545-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417546300
Provider Name
Shelby Lauren Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 Chesley Ave, Jackson, AL, 36545-2609
Phone Number
251-589-9217
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 Chesley Ave
City
Jackson
State
Alabama
Zip
36545-2609
Phone Number
251-589-9217
Fax Number
person
Provider Business Mailing Address Details
Address
306 Chesley Ave
City
Jackson
State
Alabama
Zip
36545-2609
Phone Number
251-589-9217
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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