Lisa Bradley, LPN
Individual provider Active NPI Licensed Practical Nurse · Jackson, OH
NPI 1477066645 · NPPES record last updated Nov 10, 2017
Key facts
- NPI
- 1477066645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.078167 (OH)
- Practice address
- 500 Burlington Rd Ste 240
Jackson, OH 45640-9360 - Phone
- (740) 286-5075
- Fax
- (740) 395-8411
- NPI assigned
- Nov 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.078167 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.078167 | OH | Yes |
Addresses
Primary practice location
500 Burlington Rd Ste 240
Jackson, OH 45640-9360
Mailing address
1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366
Other providers in Jackson, OH
- Abigail Bomkamp
- Angel M Bond
- Jamie Beth Boster
- G. Wilson Bowers
- Michael E Bowman
- Jordan Tyler Brewer
- Rachael Dawn Brewer
- Douglas W Brower
- Donald Arthur Brown
- Emily Brown
All providers in Jackson, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.