Barbara Jean Bradford, APN

Individual provider Active NPI Nurse Practitioner · Greeneville, TN

NPI 1962487637 · NPPES record last updated Mar 3, 2008

Key facts

NPI
1962487637
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN0000052700 (TN)
Practice address
1410 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4286
Phone
(423) 787-7280
Fax
(423) 787-7883
NPI assigned
Dec 14, 2005
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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000052700TNMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000052700 TN Yes

Addresses

Primary practice location

1410 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4286

Mailing address

1410 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4286
Phone (423) 787-7280

Other providers in Greeneville, TN

All providers in Greeneville, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.