Provider Demographics
NPI:1255955175
Name:BRACEWELL, BRITTANY (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BRACEWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:BUNNELL
Mailing Address - State:FL
Mailing Address - Zip Code:32110-6072
Mailing Address - Country:US
Mailing Address - Phone:386-507-3421
Mailing Address - Fax:386-243-3049
Practice Address - Street 1:700 ZEAGLER DR STE 4
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-3826
Practice Address - Country:US
Practice Address - Phone:386-309-5455
Practice Address - Fax:833-973-5937
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007298363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily