Individual provider · Type 1 NPI
Constance M. Bradford, FNP-C
Family Nurse Practitioner · Monticello, MS
NPI number
1003960907
Active
Practice location
149 Jefferson St. S, Ste C
Monticello, MS 39654
Fax (855) 801-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R878491 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 878491 (MS) |
| Medical-Surgical Registered Nurse | 163WM0705X | R878491 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003960907
Constance M. Bradford, FNP-C's National Provider Identifier is 1003960907, issued on Jan 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monticello, MS. The record was last updated on Aug 17, 2026.