DESEREE BRODDIE NPI 1033385406

NPI Information

  • NPI: 1033385406
  • Provider Name: DESEREE BRODDIE
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 128 STUBBS LN
    BAINBRIDGE, GA
    ZIP 39817
  • Phone: (229) 726-8253

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NPI Details

DESEREE BRODDIE is a nursing care in Bainbridge, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. DESEREE BRODDIE NPI is 1033385406. The provider is registered as an organization entity type.

The provider's business location address is:

128 STUBBS LN
BAINBRIDGE, GA
ZIP 39817-937
Phone: (229) 726-8253

The provider's authorized official is Deseree Marie Broddie .
The authorized official title is Lpn and has the following contact phone number (229) 726-8253.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareLPN059350GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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