MRS. Juanita Denae Bracy, PA-C, MPA, ATC, MED.

NPI #1396855813 in St Johns, Florida

Provider Information

NPI Number: 1396855813
Entity Type: Individual
Name: MRS. Juanita Denae Bracy, PA-C, MPA, ATC, MED.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPA, ATC, MED.
Enumeration Date: Aug 30, 2006
Last Updated: Jul 28, 2025

Practice Location

Address: 3055 COUNTY ROAD 210 W STE 110
City: St Johns
State: Florida
ZIP Code: 32259-7001
Phone: (214) 580-7277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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