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Contact Information

BRADLEY R HARRELL, DNP, APRN, ACNP-BC
202 TUCKER AVE
RIPLEY, TN38063
 Phone: 731-635-4741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRADLEY R HARRELL · (Male)

NPI Number 1710204128
Status Active
Credentials DNP, APRN, ACNP-BC
Entity Individual
Enumeration date 04/24/2010
Last updated 11/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 14918
  • TN Medicaid 1519950
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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