Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Bradley, FNP-C, FPA

Individual provider Family Nurse Practitioner · NPI 1306447263

Crystal Bradley, FNP-C, FPA is a Family Nurse Practitioner in Glen Carbon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4260 S State Route 159 Ste 1
Glen Carbon, IL 62034-3201
Phone: (872) 713-7614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277.003238 (IL)

Record details

NPI number1306447263
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , FPA
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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