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Individual
SUSAN DIANE BRACKNEY
Active
Individual
SUSAN DIANE BRACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1156126
KY
163W00000X
Registered Nurse
28127791A
IN
163W00000X
Registered Nurse
447807
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4052611
KY
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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