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

Lisa Ann Bradley

Individual provider Family Nurse Practitioner · NPI 1417620741

Lisa Ann Bradley is a Nurse Practitioner in Leslie, Michigan. Qualified in 2021, 5 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021

Practice location Address checks out

130 N Sherman St
Leslie, MI 49251-9409
Phone: (517) 205-2500
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 4704297194 (MI)

Record details

NPI number1417620741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address3333 Spring Arbor Rd Ste 200, Jackson, MI 49203-8622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Leslie