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Individual

JESSICA BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 259-1600
(901) 259-1698

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3221
TN
363AM0700X
Medical Physician Assistant
3221
TN
363AS0400X
Surgical Physician Assistant
Primary
3221
TN

Other

Enumeration date
01/05/2017
Last updated
01/10/2025
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