ANGELA BROADNAX
NPI 1457089682
Clinic/Center - Mental Health (Including Community Mental Health Center) in Macclenny, FL

Q: What is Angela Broadnax's NPI number?

The NPI number for Angela Broadnax is 1457089682. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Q: What is Angela Broadnax's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Angela Broadnax was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2022

505 MATECUMBE CT, MACCLENNY, FL 32063(904) 327-1135 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA BROADNAX (NPI 1457089682) is an individual mental health (including community mental health center) provider in Macclenny, Florida and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1457089682

Entity TypeIndividualFemale

Primary Taxonomy261QM0801X

Provider Legal NameANGELA BROADNAX

Location Address505 MATECUMBE CTMacclenny, FL 32063-8832

Mailing Address505 Matecumbe CtMacclenny, FL 32063-8832

Phone(904) 327-1135

Sole ProprietorYes

Enumeration DateAugust 15, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1457089682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

505 MATECUMBE CT, Macclenny, FL 32063

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXCIA BENNETT

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

505 MATECUMBE CT
MACCLENNY, FL 32063

Baker County (904) 414-1675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Broadnax's NPI number?

The NPI number for Angela Broadnax is 1457089682. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Angela Broadnax located?

Angela Broadnax practices at 505 Matecumbe Ct, Macclenny, FL 32063. The listed phone number is (904) 327-1135.

What is Angela Broadnax's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Angela Broadnax was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.