# CLYDENA JEAN BROUGHTON

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

## Provider details

- **NPI number:** 1588979314
- **Gender:** F
- **Credential:** FNP - C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 0024183957 | VA | — |
| 363LF0000X | Family Nurse Practitioner | APRN62736-NP-C | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 62736 | WV | Yes |

## Other

- **Enumeration date:** 08/17/2010
- **Last updated:** 10/16/2024