Bradley, Jacklyn

Bradley, Jacklyn is an individual health care provider with primary practice located at 333 Budlong Rd , Cranston RI 02920-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bradley, Jacklyn can be contacted via phone (401) 943-4530.

Contact Information

Primary practice address
333 Budlong Rd Cranston RI 02920-6337
Phone: (401) 943-4530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1790141976
LBN Legal business name Bradley, Jacklyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Jan 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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