Bridgett R. Bradley
In Home Supportive Care Agency in Memphis, TN(View on Map)
Full Name
Bridgett Renee Bradley
NPI Number
1376040311
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/06/2018
Specialties
(Taxonomies)Code
253Z00000X
251J00000X
385H00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Tennessee
License Number
I000000022060
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 343168
1674 DELANO AVE UNIT 233
City
Bartlett
Memphis
State
TN
TN
Postal Code
38184-3168
38127-8515
Country
US
US
Telephone Number
N/A
(901) 318-6967
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/15/2024