| Jennifer Bradley, | |
|
3920 St Francis Way Ste 100, Lafayette, IN 47905-4917 | |
| (765) 428-5990 | |
| Not Available |
| Full Name | Jennifer Bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3920 St Francis Way Ste 100, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740802073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 28186289A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71010119A (Indiana) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bradley, Po Box 781076, Detroit, MI 48278-1076 Ph: (131) 752-8480 | Jennifer Bradley, 3920 St Francis Way Ste 100, Lafayette, IN 47905-4917 Ph: (765) 428-5990 |
Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400 | |
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113 | |
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989 | |
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191 | |
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 |