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Abby Catherine Bradford, rn, fnp-bc

Nurse Practitioner, Family in Jefferson City, MO. Individual provider (NPI-1).

NPI number1619265196
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1619265196
Entity type
Individual (NPI-1)
Name
Abby Catherine Bradford
Credential
rn, fnp-bc
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2011
Certification date
Mar 26, 2024
Last updated
Mar 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2011022088MOYes

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Phone 573-634-2620 · Fax 573-634-2033

Mailing address

Po Box 843966
Kansas City, MO 64184-3966

Phone 573-884-3300 · Fax 573-884-0943

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