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NPI 1922827898

NPI 1922827898 : FELICIA ANN BRADLEY DNP, PMHNP : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1922827898
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    Entity Type          |    Individual 
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    Provider Name        |    FELICIA ANN BRADLEY DNP, PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2024
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    8426 OPALWOOD LN 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-2746
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    Country              |    US
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    Telephone            |    281-935-9005
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    Fax                  |    281-540-2279
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Provider Business Mailing Address
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    Address Line         |    27105 REGAL GREEN LN 
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    City                 |    KINGWOOD
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    State                |    TX
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    Zip                  |    77339-5000
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    Country              |    US
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    Telephone            |    281-935-9005
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    Fax                  |    832-412-9551
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    1173766
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1173766
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    3140N1450X
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    Taxonomy Name        |    Pediatric Skilled Nursing Facility
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    License Number       |    1173766
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    313M00000X
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    Taxonomy Name        |    Nursing Facility/Intermediate Care Facility
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    License Number       |    1173766
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    License Number State |    TX
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