Nurse Practitioner, Community Health
CHARLESTON CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831329887 · enumerated 2009-07-23 · record updated 2011-07-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. LISA BRADHAM FNP, Nurse Practitioner · (662) 647-5816
Addresses and phones
- Mailing address P. O. BOX 21, CHARLESTON, MS, 38921 Google Maps Apple Maps OpenStreetMap
- Practice location 401 S CHURCH ST, CHARLESTON, MS, 38921-2257 (662) 647-5816 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Community Health 363LC1500X · Primary · License R865030 MS
In this directory
MS Tallahatchie County Charleston Nurse Practitioner, Community Health
Locations and evidence
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Practice location
CHARLESTON, MS, 389212257
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.