JACLYNN N BRADSHAW (NPI# 1669816831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669816831 |
| Entity Type | Individual |
| Full Name | JACLYNN N BRADSHAW |
| Credential | APN |
| Practice Address |
4901 Raleigh Common Dr Suite 100 Memphis TN 38128-2478 |
| Practice Telephone | 9013719040 |
| Practice Fax Number | 9013719258 |
| Mailing Telephone | 9013719040 |
| Mailing Fax Number | 9013719258 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17563 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSE | 17563 | 01 |
| Street Address |
4901 RALEIGH COMMON DR SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659600518 | Whitney Slade Md, LLC | Internal Medicine | 4901 Raleigh Common Dr, Suite 200, Memphis, TN 38128-2478 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| 1831702224 | Tennessee In-home Partner-iv, LLC | Nurse Practitioner | Sumner Medical Plaza, 300 Steam Plant Road, Suite 220, Memphis, TN 37066-3032 | 2020-08-26 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1780199786 | Shkendie Papraniku | Nurse Practitioner | 6005 Park Ave Ste 510, Memphis, TN 38119-5215 | 2017-12-12 |
| 1063926079 | Megan Lee Alexander | Nurse Practitioner | 877 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2017-11-29 |
| 1427568260 | Miranda D White | Nurse Practitioner | 6027 Walnut Grove Rd Ste 114, Memphis, TN 38120-2115 | 2017-10-06 |
| 1184098956 | Mika Tralayne Jackson | Nurse Practitioner | 4075 S Lakewood Dr, Memphis, TN 38128-4401 | 2015-11-17 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.