Individual provider Active NPI

Amber Nicole Bradley, FNP

  • Family Nurse Practitioner
  • Huntingdon, TN
National Provider Identifier
1689335192
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31184 Issued in TN
Practice address
641 RB Wilson Dr Ste M
Huntingdon, TN 38344-1734
Phone
(731) 986-7330
Fax
(731) 986-7083
NPI assigned
Jan 6, 2022
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31184 TN Primary

Addresses

Primary practice location

641 RB Wilson Dr Ste M
Huntingdon, TN 38344-1734

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

631 Rb Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021

Other practice location 2

700 W Forest Ave Ste 300
Jackson, TN 38301-3946
Phone (731) 422-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222000249 TN Practitioner - Nurse Practitioner 9436543261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

641 RB Wilson Dr
Suite M
Huntingdon, TN 38344-1734
Phone (731) 986-7330

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31184TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinic PA CurrentSince Feb 17, 2022 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Mar 10, 2026 Accepting new patients
Jackson Clinic PA CurrentSince Feb 17, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 10, 2026 Accepting new patients

Locations

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

641 Rb Wilson Dr
Ste M
Huntingdon, TN 38344
Phone (731) 986-7330

700 W Forest Ave
Jackson, TN 38301
Phone (731) 424-8922

700 W Forest Ave
Ste 300
Jackson, TN 38301
Phone (731) 422-0330

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1689335192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 RB WILSON DR STE M",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441734",
            "telephone_number": "731-986-7330",
            "fax_number": "731-986-7083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Rb Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383441727",
            "country_code": "US",
            "telephone_number": "731-986-7021",
            "fax_number": "731-986-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Forest Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013946",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "fax_number": "731-422-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

Verify at the official NPI Registry.