Individual provider · Type 1 NPI

Jaclynn N. Bradshaw, APN

Nurse Practitioner · Seattle, WA

NPI number 1669816831 Active

Practice location

925 Seneca St
Seattle, WA 98101-2742

Fax (206) 753-5177

Mailing address

PO Box 741515
Los Angeles, CA 90074-1515

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X17563 (TN)
Gerontology Nurse Practitioner 363LG0600XAP60691550 (WA)
Nurse Practitioner Primary 363L00000XAP60691550 (WA)

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 wit…

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About NPI 1669816831

Jaclynn N. Bradshaw, APN's National Provider Identifier is 1669816831, issued on Apr 18, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Seattle, WA. The record was last updated on Mar 10, 2025.