Individual
LYNNETTE WELLS BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.C.M.
Contact information
Practice address
1115 KENTUCKY LN, PAINTSVILLE, KY 41240-9368
(912) 398-8234
(866) 259-4181
Mailing address
1115 KENTUCKY LN, PAINTSVILLE, KY 41240-9368
(912) 398-8234
(866) 259-4181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1145809
KY
163W00000X
Registered Nurse
RN035687
GA
171M00000X
Case Manager/Care Coordinator
Primary
20888
NJ
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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