Individual provider · Type 1 NPI
Tiffany Faye Braddy, APRN
Primary Care Nurse Practitioner · Macclenny, FL
NPI number
1760165013
Active
Practice location
159 N 3rd St
Macclenny, FL 32063-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 11028047 (FL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1760165013
Tiffany Faye Braddy, APRN's National Provider Identifier is 1760165013, issued on Aug 11, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Macclenny, FL. The record was last updated on Aug 11, 2023.