Individual provider · Type 1 NPI

Jennifer Bradley

Family Nurse Practitioner · Lafayette, IN

NPI number 1740802073 Active

Practice location

3920 St Francis Way Ste 100
Lafayette, IN 47905-4917

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71010119A (IN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X25973 (SC)
Primary Care Nurse Practitioner 363LP2300X28186289A (IN)
Family Nurse Practitioner Primary 363LF0000X25973 (SC)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

Other family nurse practitioner providers in Lafayette

See all in Lafayette →

About NPI 1740802073

Jennifer Bradley's National Provider Identifier is 1740802073, issued on May 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, IN. The record was last updated on Jun 27, 2025.