JILL RENEE BRADLEY


Address: 700 Ne 87th Ave, Vancouver, WA 98664-4896
Phone: 3608822778

JILL RENEE BRADLEY (NPI# 1568961100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568961100
Entity Type Individual
Full Name JILL RENEE BRADLEY
Credential FNP
Practice Address 700 Ne 87th Ave
Vancouver
WA 98664-4896
Practice Telephone 3608822778
Mailing Telephone 3603973352
Mailing Fax Number 3606041771
Enumeration Date 2018-02-09
Last Update Date 2018-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60824591 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2005 W Main St, Battle Ground, WA 986044311 3608822778
2525 Ne 139th St, Vancouver, WA 986862719 3608822778
501 Se 172nd Ave, Vancouver, WA 986849542 3608822778

Other Providers JILL BRADLEY

NPI Name Taxonomy Address Enumeration
1558844696 Jill Bradley Physical Therapy Assistant 2244 Ashley Crossing Dr, Charleston, SC 29414-5700 2018-09-14
1316262371 Jill Michelle Bradley Social Worker 4740 Flintridge Dr Ste 220m, Colorado Springs, CO 80918-4273 2010-04-02

Office Location

Street Address 700 NE 87TH AVE
City VANCOUVER
State WA
Zip Code 98664-4896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447255112 Lewis Mark Steinberg Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2005-06-17
1598398141 Blakely Garrity Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-4896 2020-02-21
1851958797 Rosa Pham Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2019-05-28
1902368319 Alexandria Eunsong Yeo Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2019-04-03
1245757939 Matthew Elamparo Pharmacist 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-08-24
1174051023 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 2017-05-23
1952833741 Jeanne Lothrop Gurney Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-03-30
1730639626 Cameron M Schmidt Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-10-04
1164971610 David C Turro Jr. Physician Assistant 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 2016-09-26
1992250757 Christina Gautier Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942711767 Julie B Lawrence Nurse Practitioner 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 2017-10-19
1588174833 Oliver Uy Nurse Practitioner 15814 Ne 72nd, Vancouver, WA 98682 2017-10-01
1780103549 Rebecca Adele Rutledge Nurse Practitioner 10503 Ne 67th Ave, Vancouver, WA 98686-5103 2017-09-13
1689044182 Moonstone Medical Group, Pllc Nurse Practitioner 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 2015-09-28
1366821993 Derek Simmons Nurse Practitioner 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 2015-05-28
1306155270 Christie Anne Kratovil Nurse Practitioner 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 2010-09-27
1780822916 Stephanie Renee Jones Nurse Practitioner 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 2009-01-26
1942484308 Chrissie Collette Russell-wilson Nurse Practitioner 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 2007-12-20
1093831752 Sherrie Lee Thomas Nurse Practitioner Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2007-03-22
1669575692 Debra Ann Goldstein Nurse Practitioner 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 2006-09-06
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Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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