SHIRLEY A BRADDY LPN
NPI 1750659546
Licensed Practical Nurse in Mount Vernon, IL

Q: What is Shirley Braddy's NPI number?

The NPI number for Shirley Braddy is 1750659546. It was assigned to this individual provider in the NPPES registry on December 7, 2011. The provider is also known as Shirley A Studer Lpn.

Q: What is Shirley Braddy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Braddy was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 07, 2011

2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 244-6544(618) 244-6577 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shirley A Braddy Lpn NPPES

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

SHIRLEY A BRADDY LPN (NPI 1750659546) is an individual licensed practical nurse in Mount Vernon, Illinois, licensed in Illinois (043068030) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1750659546

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHIRLEY A BRADDYCredential: LPN

Location Address2920 VETERANS MEMORIAL DRMount Vernon, IL 62864-5924

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2436 · Fax (618) 724-2571

Phone(618) 244-6544

Fax(618) 244-6577

Sole ProprietorNo

Enumeration DateDecember 7, 2011

✔ NPI 1750659546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043068030

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2920 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

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Other Names 1

Former Name (1)Shirley A Studer Lpn

Other Providers at the Same Location NPPES 20

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

JUDY K JENKINS LPN

Licensed Practical Nurse