Individual
CASSIDY BRENA BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 OAKLEAF PLANTATION PKWY STE 108, ORANGE PARK, FL 32065-3626
(904) 282-4565
Mailing address
1075 OAKLEAF PLANTATION PKWY STE 108, ORANGE PARK, FL 32065-3626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9529125
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11044617
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11044617
FL
Other
Enumeration date
12/10/2025
Last updated
01/12/2026
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