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Contact Information

JEANINE M BRADLEY, ARNP
822 SOUTH 17TH STREET
CLARINDA, IA51632
 Phone: 712-542-0702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEANINE M BRADLEY · (Female)

NPI Number 1477190767
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/05/2019
Last updated 12/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A112514
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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