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

Jennifer Bradley

Individual provider Family Nurse Practitioner · NPI 1740802073

Jennifer Bradley is a Family Nurse Practitioner in Lafayette, Indiana. Practices as a sole proprietor. Licensed in Indiana and South Carolina.

Licensed in
IN, SC
In the registry since
2020
Specialties on file
4

Practice location Address checks out

3920 St Francis Way Ste 100
Lafayette, IN 47905-4917
Phone: (765) 428-5990
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 25973 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71010119A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 25973 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 28186289A (IN)

Record details

NPI number1740802073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2020
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Other providers in Lafayette