Provider Demographics
NPI:1922827898
Name:BRADLEY DNP, PMHNP, FELICIA ANN (DNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:ANN
Last Name:BRADLEY DNP, PMHNP
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8426 OPALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2746
Mailing Address - Country:US
Mailing Address - Phone:281-935-9005
Mailing Address - Fax:832-412-9551
Practice Address - Street 1:8426 OPALWOOD LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2746
Practice Address - Country:US
Practice Address - Phone:281-935-9005
Practice Address - Fax:281-540-2279
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173766363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health