Individual
BETHANY MITCHELL BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
484 COLLINS RD, COLUMBIA, LA 71418-3388
(318) 649-5300
Mailing address
472 LIBERTY CEMETARY RD, GRAYSON, LA 71435-4813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
248279
LA
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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