Individual provider · Type 1 NPI
Lisa Yvonne Bradshaw-Small, APRN, BC
Family Nurse Practitioner · Stone Mountain, GA
NPI number
1043330301
Active
Practice location
6269 Greenock Dr
Stone Mountain, GA 30087-6081
Fax (678) 825-6030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN141141 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN141141 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Stone Mountain
- Kenisha Francisco, APRNFamily Nurse Practitioner Stone Mountain, GA NPI 1033581350
- Julie Noelle Knisely, FNP-BCFamily Nurse Practitioner Stone Mountain, GA NPI 1033708441
- Nikeisha Clevia OliverFamily Nurse Practitioner Stone Mountain, GA NPI 1043080641
- Flortasha Laray Pullom, FNP-BCFamily Nurse Practitioner Stone Mountain, GA NPI 1043559529
- Andrea Zmaj, MSN, FNP-CFamily Nurse Practitioner Stone Mountain, GA NPI 1043690605
- Justin Stewart Kitchens, NP-CFamily Nurse Practitioner Stone Mountain, GA NPI 1073050449
- Sherrie MeltonFamily Nurse Practitioner Stone Mountain, GA NPI 1083470306
- Jamay R. Logan, FNP-BCFamily Nurse Practitioner Stone Mountain, GA NPI 1114489911
About NPI 1043330301
Lisa Yvonne Bradshaw-Small, APRN, BC's National Provider Identifier is 1043330301, issued on Mar 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 5, 2012.