MRS. MATTIE SULLIVAN BRAXTON
NPI 1679416572
Nurse Practitioner - Family in Mount Juliet, TN

Active since April 14, 2026
216 W DIVISION ST, MOUNT JULIET, TN 37122(615) 288-3500 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mattie Sullivan Braxton NPPES

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

MRS. MATTIE SULLIVAN BRAXTON (NPI 1679416572) is an individual family provider in Mount Juliet, Tennessee, licensed in Tennessee (40356) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1679416572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MATTIE SULLIVAN BRAXTON
Location Address216 W DIVISION STMount Juliet, TN 37122-3253
Mailing Address900 Easton DrMount Juliet, TN 37122-4475
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1679416572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 40356
216 W DIVISION ST, Mount Juliet, TN 37122

Other Providers at the Same Location NPPES

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

Registered Nurse
216 W DIVISION ST
MOUNT JULIET, TN 37122

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 Mattie Braxton's NPI number?

The NPI number for Mattie Braxton is 1679416572. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Mattie Braxton located?

Mattie Braxton practices at 216 W Division St, Mount Juliet, TN 37122. The listed phone number is (615) 288-3500.

What is Mattie Braxton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mattie Braxton was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.