SearchGeorgiaFamily Nurse Practitioner

Lisa Bradshaw-Small, APRN, BC

NPI 1043330301 · on the registry since 2007 · sole proprietor

Practice

Address
6269 Greenock Dr
Stone Mountain, GA 30087
Phone
(404) 819-9665
Fax
(678) 825-6030
Organisation at this address
Premier Personal Health Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Adult Psychiatric/Mental Health Registered Nurse
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia