Individual provider · Type 1 NPI

Bradley Keith Shields

Nurse Practitioner · Florence, MS

NPI number 1073086005 Active

Practice location

128 Earl Clark Dr
Florence, MS 39073-6604

Fax (601) 891-8468

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X903096 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073086005

Bradley Keith Shields's National Provider Identifier is 1073086005, issued on Jan 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Florence, MS. The record was last updated on Jan 2, 2019.