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

Jessica Bradshaw

Individual provider Family Nurse Practitioner · NPI 1558104919

Jessica Bradshaw is a Nurse Practitioner in Lake Mary, Florida. Qualified in 2024, 2 years ago. Practices with Family First Primary Care PA, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

755 Rinehart Rd Ste 200
Lake Mary, FL 32746-4886
Phone: (407) 320-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1075 Oakleaf Plantation Pkwy Ste 108, Orange Park, FL 32065-3626 — (904) 282-4565

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11033431 (FL)

Record details

NPI number1558104919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address755 Rinehart Rd Ste 200, Lake Mary, FL 32746-4886

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family First Primary Care Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lake Mary