Individual
JUSTIN LYNN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
134 PEACH ORCHARD RD, CLINTON, TN 37716-6600
(865) 414-5298
Mailing address
134 PEACH ORCHARD RD, CLINTON, TN 37716-6600
(865) 414-5298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166351
TN
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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