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Contact Information

TIFFANY F BRADDY, APRN
159 N 3RD ST
MACCLENNY, FL32063-2103
 Phone: 904-259-3151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TIFFANY F BRADDY · (Female)

NPI # 1760165013
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/11/2023
Last updated 08/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 11028047
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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