Individual provider · Type 1 NPI
Jerri Bradshaw, PA-C
Physician Assistant · Lone Grove, OK
Practice location
16370 US Highway 70
Lone Grove, OK 73443-6535
Fax (580) 224-2863
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 1402 (OK) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
About NPI 1609893676
Jerri Bradshaw, PA-C's National Provider Identifier is 1609893676, issued on Jul 16, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lone Grove, OK. The record was last updated on Mar 13, 2026.