Individual provider · Type 1 NPI
Tammy Jo Bradford, CNS
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1730265356
Active
Practice location
5251 S East St Ste 25B
Indianapolis, IN 46227-2061
Fax (317) 344-8289
Mailing address
192 N Avon Ave, Ste 300
Avon, IN 46123-9513
Other practice locations
- 5251 S East St Ste 25B, Indianapolis, IN 46227-2061 · (317) 426-7446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 2005027616 (MO) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN221074 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 70000195A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730265356
Tammy Jo Bradford, CNS's National Provider Identifier is 1730265356, issued on Oct 27, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 23, 2019.