Individual provider · Type 1 NPI
Penny Watson Braswell, FNP
Family Nurse Practitioner · Raleigh, NC
NPI number
1245974336
Active
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
3809 Computer Dr Ste 100
Raleigh, NC 27609-6518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2014-00018 (NC) |
| Family Nurse Practitioner | 363LF0000X | 5016044 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024183990 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245974336
Penny Watson Braswell, FNP's National Provider Identifier is 1245974336, issued on Apr 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 28, 2026.