# MRS. JUANITA DENAE BRACY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396855813
- **Gender:** F
- **Credential:** PA-C, MPA, ATC, MED.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 012000864 | VA | — |
| 2255A2300X | Athletic Trainer | — | CA | — |
| 363A00000X | Physician Assistant | PA9118228 | FL | Yes |
| 363AM0700X | Medical Physician Assistant | 306479 | NC | — |
| 363AM0700X | Medical Physician Assistant | PA15256 | TX | — |
| 363AM0700X | Medical Physician Assistant | PA60497 | CA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0070402592 | NATA BOC | CA |
| 01 | — | 0126000864 | ATC VIRGINIA LICENSE | VA |
| 05 | — | 125670500 | — | FL |
| 05 | — | PA15256 | — | TX |