Bridgett Renee Bradley
In Home Supportive Care in Memphis, TN. Individual provider (NPI-1).
NPI number1376040311
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1376040311
- Entity type
- Individual (NPI-1)
- Name
- Bridgett Renee Bradley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2018
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | I000000022060 | TN | Yes |
| 251J00000X | Nursing Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
1674 Delano Ave Unit 233Memphis, TN 38127-8515
Phone 901-318-6967 · Fax 901-347-1259
Mailing address
Po Box 343168Bartlett, TN 38184-3168
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