ANGELA BROADNAX NPI 1457089682

NPI Information

  • NPI: 1457089682
  • Provider Name: ANGELA BROADNAX
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Individual
  • Address: 505 MATECUMBE CT
    MACCLENNY, FL
    ZIP 32063
  • Phone: (904) 327-1135

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NPI Details

Angela Broadnax is a mental health (including community mental health center) clinic center in Macclenny, FL. Angela Broadnax NPI is 1457089682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 MATECUMBE CT
MACCLENNY, FL
ZIP 32063-832
Phone: (904) 327-1135

The enumeration date for this NPI number is 8/15/2022 and was last updated on 8/15/2022.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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