Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Bradley

Individual provider Family Nurse Practitioner · NPI 1467811976

Jennifer Bradley is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2015, 11 years ago. Works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Georgia.

Years since qualifying
11
Licensed in
AZ, GA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1755 N Brown Rd Ste 200-1023
Lawrenceville, GA 30043-8198
Phone: (770) 281-0118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3707 E Southern Ave # 523, Mesa, AZ 85206-2569 — (770) 281-0118
  • 2636 Elm Hill Pike, Nashville, TN 37214-3162 — (615) 823-7622
  • 1333 W McDermott Dr Ste 200, Allen, TX 75013-3089 — (770) 281-0118

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN208474 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN208474 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 283910 (AZ)

Record details

NPI number1467811976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2016
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address2636 Elm Hill Pike, 120, Nashville, TN 37214-3162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lawrenceville