Individual provider · NPI-1

Alli Nickell Bradley, DO

Family Medicine · Greeneville, TN

NPI number1467027334
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1467027334
Entity type
Individual (NPI-1)
Name
Alli Nickell Bradley
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2021
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5441TNYes

Other names

  • Alli Johanna Nickell (Former Name)

Practice location

1404 Tusculum Blvd Ste 3000
Greeneville, TN 37745-4648

Phone 423-638-1188 · Fax 833-908-2068

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383

Phone 865-584-4747 · Fax 865-381-1509

Other practice locations

208 Medical Park Blvd
Bristol, TN 37620-7343

Phone 423-989-4050 · Fax 423-990-3044

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