Jena Bradley, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11001458 Issued in FL

Practice address

5868 Creek Station Dr
Pensacola, FL 32504-8627

Phone

(850) 471-5060

Fax

(850) 471-5070

NPI assigned

Jul 10, 2019

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jjones@pensacolapeds.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Gulf Breeze, FL
  • NPI 1013680651
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1144302324
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pace, FL
  • NPI 1225701550
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Navarre, FL
  • NPI 1467178343
  NPD (past)
• Pensacola Pediatrics, PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1255004586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1578115671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 CREEK STATION DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048627",
            "telephone_number": "850-471-5060",
            "fax_number": "850-471-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virdia Christina Bradford, CLPN
• William Austin Bradford
• Angel Renee Bradley, DHSC, MPH, TTS, CWWS
• Dalton Bradley
• Gloria Bradley
• Kevin Grant Bradley, M.D.
• Rebecca C Bradley
• Tara B Bradley, MS, CCC-SLP
• Wayne Dennis Bradley, D.D.S.
• William James Lee Bradley IV, PT

• Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.