Individual provider · Type 1 NPI
Stacey Ann Bradley, ACNPC-AG
Nurse Practitioner · Wilmington, NC
Practice location
2131 S 17th St
Wilmington, NC 28401-7407
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice locations
- 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 · (910) 662-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5015071 (NC) |
| Acute Care Nurse Practitioner | 363LA2100X | BRAD-DDBS5 (NC) |
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 1174293872
Stacey Ann Bradley, ACNPC-AG's National Provider Identifier is 1174293872, issued on Sep 15, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Nov 24, 2021.