Constance M Bradford (NPI# 1003960907, PAC ID# 6002132941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003960907 |
| PAC ID by PECOS | 6002132941 |
| Professional Enrollment ID | I20150311001895 |
| Full Name | Constance M Bradford |
| Organization Legal Name | FAMILY HEALTH CARE CLINIC INC |
| Address |
202 Jefferson St Newhebron MS 39140-3809 |
| Phone Number | 6018257280 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395656946 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251305 | LAWRENCE COUNTY HOSPITAL CAH |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 Jefferson St, Newhebron, MS 39140-3809 | 6018257280 | FAMILY HEALTH CARE CLINIC INC |
| Organization Legal Name | FAMILY HEALTH CARE CLINIC INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Richardson | Obstetrics/gynecology | Family Health Care Clinic Inc | 438 Katherine Dr, Flowood, MS 39232-8803 |
| Lisa Weinmann Steele | Nurse Practitioner | Family Health Care Clinic Inc | 102 Physicians Dr B, Muscle Shoals, AL 35661-2100 |
| Jenny M Taylor | Nurse Practitioner | Family Health Care Clinic Inc | 123 N Front St, Winona, MS 38967-2239 |
| Lindsey E Smith | Nurse Practitioner | Family Health Care Clinic Inc | 125 Carter Dr, Calhoun City, MS 38916-7028 |
| Kelsa Temple | Nurse Practitioner | Family Health Care Clinic Inc | 150 J E Johnson Rd, Prentiss, MS 39474-3101 |
| Valerie White | Nurse Practitioner | Family Health Care Clinic Inc | 4635 Hwy 80 E, Pearl, MS 39208-4226 |
| Teresa Q Conerly | Nurse Practitioner | Family Health Care Clinic Inc | 430 W Broad St, Monticello, MS 39654-7723 |
| Blanche Bell | Nurse Practitioner | Family Health Care Clinic Inc | 1495 Us Hwy 61 S, Woodville, MS 39669-3577 |
| Marleah Mcanalley | Nurse Practitioner | Family Health Care Clinic Inc | 1304 13th Seave A, Decatur, AL 35601-4316 |
| Joe Ward | General Practice | Family Health Care Clinic Inc | 290 Us Hwy 51 N, Brookhaven, MS 39601-2654 |
| Street Address |
202 JEFFERSON ST |
| City | NEWHEBRON |
| State | MS |
| Zip | 39140-3809 |
| City | NEWHEBRON |
| Zip Code | 39140 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWHEBRON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Constance M Bradford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.