Individual provider · Type 1 NPI

Jessica Bradshaw, PA

Surgical Physician Assistant · Memphis, TN

NPI number 1407391055 Active

Practice location

6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023

Fax (901) 259-1698

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742

Other practice locations

  • 2100 Exeter Rd Ste 200, Germantown, TN 38138-3966 · (901) 641-3000
  • 262 Danny Thomas Pl, Memphis, TN 38105-3678 · (901) 595-3300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3221 (TN)
Medical Physician Assistant 363AM0700X3221 (TN)
Surgical Physician Assistant Primary 363AS0400X3221 (TN)

Surgical Physician Assistant: Definition to come...

29 other providers at this address

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About NPI 1407391055

Jessica Bradshaw, PA's National Provider Identifier is 1407391055, issued on Jan 5, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Jan 10, 2025.