Bradshaw, Jaclynn N

Bradshaw, Jaclynn N is an individual health care provider with primary practice located at 2709 Hemlock St , Bremerton WA 98310-2623. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bradshaw, Jaclynn N can be contacted via phone (360) 782-6000.

Contact Information

Primary practice address
2709 Hemlock St Bremerton WA 98310-2623
Phone: (360) 782-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17563 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP60691550 Washington

Profile Details

NPI number 1669816831
LBN Legal business name Bradshaw, Jaclynn N
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2013
Last updated Dec 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669816831 NPPES
Tennessee Other 17563 LICENSE
Tennessee MEDICAID 2067062 LICENSE

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