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Contact Information

JACLYNN N BRADSHAW, APN
925 SENECA ST
SEATTLE, WA98101-2742
 Phone: 206-341-3009
 Fax: 206-753-5177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACLYNN N BRADSHAW · (Female)

NPI Number 1669816831
Status Active
Credentials APN
Entity Individual
Enumeration date 04/18/2013
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 17563
  • WA License # AP60691550
  • WA Medicaid 2067062
  • TN Other 17563 LICENSE
Hospital affiliation(s)
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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