Individual provider · Type 1 NPI

Jolliffee Tanyareah Braddy, FNP-BC

Family Nurse Practitioner · Minnetonka, MN

NPI number 1699096255 Active

Practice location

9900 Bren Rd E
Minnetonka, MN 55343-9664

Mailing address

210 Mcqueen Dr
Pooler, GA 31322-2240

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN150985 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1699096255

Jolliffee Tanyareah Braddy, FNP-BC's National Provider Identifier is 1699096255, issued on Jun 17, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 18, 2020.