Individual provider · Type 1 NPI

Bethany Mitchell Braddock, APRN, FNP-C

Family Nurse Practitioner · Columbia, LA

NPI number 1023939592 Active

Practice location

484 Collins Rd
Columbia, LA 71418-3388

Mailing address

472 Liberty Cemetary Rd
Grayson, LA 71435-4813

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X248279 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1023939592

Bethany Mitchell Braddock, APRN, FNP-C's National Provider Identifier is 1023939592, issued on Jul 22, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, LA. The record was last updated on Jul 22, 2026.