Individual provider · Type 1 NPI

Jason Derek Bradshaw, FNP-C

Family Nurse Practitioner · Temple, TX

NPI number 1003178450 Active

Practice location

1901 S 1st St
Temple, TX 76504-7451

Mailing address

4006 Fountainwood Cir
Georgetown, TX 78633-1911

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X687070 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1003178450

Jason Derek Bradshaw, FNP-C's National Provider Identifier is 1003178450, issued on Jun 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple, TX. The record was last updated on Jun 12, 2012.