Individual provider · Type 1 NPI

Bradley Martin Myers, FNP

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1104293463 Active

Practice location

301 S 28th Ave
Hattiesburg, MS 39401-7233

Fax (601) 288-8290

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X885821 (MS)
Nurse Practitioner 363L00000XR885821 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1104293463

Bradley Martin Myers, FNP's National Provider Identifier is 1104293463, issued on Aug 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 24, 2020.