SearchMississippiNurse Practitioner

Bradley Shields

NPI 1073086005 · on the registry since 2019

Practice

Address
128 Earl Clark Dr
Florence, MS 39073
Phone
(601) 891-8465
Fax
(601) 891-8468
Clinicians at this address
3

Registry record

Primary taxonomy
Nurse Practitioner
363L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-02

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 Mississippi