MRS. STACI LYNN BRACKEN


Address: 461 Kingsley Ave, Orange Park, FL 32073-4827
Phone: 9042139805

MRS. STACI LYNN BRACKEN (NPI# 1346459021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346459021
Entity Type Individual
Full Name MRS. STACI LYNN BRACKEN
Credential D.C.
Practice Address 461 Kingsley Ave
Orange Park
FL 32073-4827
Mailing Address 155 Blanding Blvd Ste 8
Orange Park
FL 32073-2624
Practice Telephone 9042139805
Practice Fax Number 9042139806
Mailing Telephone 9042139805
Mailing Fax Number 9042139806
Enumeration Date 2007-05-21
Last Update Date 2016-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CH8596 FL Chiropractic Providers

Office Location

Street Address 461 KINGSLEY AVE
City ORANGE PARK
State FL
Zip Code 32073-4827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619390903 Burnham Chiropractic Enterprises, LLC Chiropractor 461 Kingsley Ave, Orange Park, FL 32073-4827 2014-01-23
1013189372 Starkey Chiropractic Inc Clinic/Center 461 Kingsley Ave, Orange Park, FL 32073-4827 2008-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
Find all providers in zip 32073

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972154896 Acuna Medical LLC Chiropractor 1211 Blanding Blvd, Orange Park, FL 32065-7315 2019-09-23
1144609900 Jns Physicians Group LLC Chiropractor 1724 Village Way Ste B, Orange Park, FL 32073-5225 2015-05-27
1952732281 Natasha Kae Musser Chiropractor 410 Blanding Blvd Ste 7, Orange Park, FL 32073-5065 2013-12-12
1154624625 Jacksonville Injury & Rehab Chiropractor 859 Park Ave, Suite 102, Orange Park, FL 32073-4187 2010-12-06
1316140817 Randy John Chiropractor 35 Knight Boxx Rd, Suite 3, Orange Park, FL 32065-8053 2007-06-11
1407072242 Musa Chiropractic & Wellness Center Inc Chiropractor 1915 East West Pkwy Ste 1, Orange Park, FL 32003-6350 2007-04-18
1922142405 John David Moore Chiropractor 752 Blanding Blvd Ste 2, Orange Park, FL 32065-5790 2007-02-16
1992860811 Mary Ann Musa Chiropractor 1915-2 East West Parkway, Orange Park, FL 32003-4908 2006-12-22
1306917786 Gordon B Garver Chiropractor 418 Kingsley Ave, Orange Park, FL 32073-4828 2006-11-10
1205843190 James Walter Dautel Chiropractor 784 Blanding Blvd, Orange Park Chiropractic, Orange Park, FL 32065 2006-08-02
Find all providers in ORANGE PARK

Competitor

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City ORANGE PARK
Zip Code 32073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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