Bradley Keith Shields
Nurse Practitioner · Florence, MS
Practice location
128 Earl Clark DrFlorence, MS 39073-6604
- Phone
- (601) 891-8465
- Fax
- (601) 891-8468
NPI record
- NPI
- 1073086005
- Entity type
- Individual (Type 1)
- Enumeration date
- January 2, 2019
- Last updated
- January 2, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
903096 | MS |
About Bradley Shields
Bradley Keith Shields is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 128 Earl Clark Dr, Florence, MS 39073-6604. The NPI number 1073086005 was assigned on January 2, 2019 and the record was last updated on January 2, 2019.
Bradley Shields lists a license in the registry: #903096 (MS) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bradley Keith Shields?
The NPI number is 1073086005.
What is the phone number of Bradley Shields?
The phone number listed for the practice location is (601) 891-8465.
Where is Bradley Shields located?
128 Earl Clark Dr, Florence, MS 39073-6604.
What is the taxonomy code for Bradley Shields?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Nurse Practitioner providers in Florence
- Laurie Robinson, NP218 E Main St
- Abbey Ross, NP236 Pierce Rd
- Kelley N. Martin, CRNP218 East Main Street