AMANDA J BRADLEY MSN RN
NPI 1174200968
Clinical Nurse Specialist - Gerontology in Jackson, MI

Q: What is Amanda Bradley's NPI number?

The NPI number for Amanda Bradley is 1174200968. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Amanda Bradley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bradley was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2023

205 NORTH EAST AVE, 5TH FLOOR COMPREHENSIVE CLINICAL CARE, JACKSON, MI 49201(517) 205-7515 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Jul 3, 2023 (2 updates tracked since 2023).

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About Amanda J Bradley Msn Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA J BRADLEY MSN RN (NPI 1174200968) is an individual gerontology provider in Jackson, Michigan, licensed in Michigan (2023127914) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1174200968

Entity TypeIndividualFemale

Primary Taxonomy364SG0600X

Provider Legal NameAMANDA J BRADLEYCredential: MSN RN

Location Address205 NORTH EAST AVE, 5TH FLOOR COMPREHENSIVE CLINICAL CAREJackson, MI 49201

Mailing Address205 North East Ave, 5th Floor Comprehensive Clinical CareJackson, MI 49201 · (517) 205-7515

Phone(517) 205-7515

Sole ProprietorNo

Enumeration DateJuly 3, 2023

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1174200968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SG0600X

License✔ Licensed in MI · 2023127914

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704265861 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

205 NORTH EAST AVE, Jackson, MI 49201

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL ROBERT GRUTTER D.O.

Anesthesiology

205 NORTH EAST AVE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201

Jackson County (517) 205-3240

MR. MARK COMBS C.R.N.A.

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201

Jackson County (517) 788-4963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bradley's NPI number?

The NPI number for Amanda Bradley is 1174200968. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Amanda Bradley located?

Amanda Bradley practices at 205 North East Ave 5th Floor Comprehensive Clinical Care, Jackson, MI 49201. The listed phone number is (517) 205-7515.

What is Amanda Bradley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Amanda Bradley was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.