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Mrs. Juanita Denae Bracy, PA-C, MPA, ATC, MED.

Physician Assistant in St Johns, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396855813

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Registry record

Entity type Individual (Type 1)
Name Mrs. Juanita Denae Bracy
Credential PA-C, MPA, ATC, MED.
Sex Female
Practice address 3055 County Road 210 W Ste 110, St Johns, FL, 32259
Enumeration date Aug 30, 2006
Last updated in NPPES Jul 28, 2025

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 012000864 (VA) Secondary
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 306479 (NC) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60497 (CA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA15256 (TX) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9118228 (FL) Primary

Other identifiers

Identifier Type State Issuer
PA15256 Medicaid TX -
125670500 Medicaid FL -
0070402592 Other CA NATA BOC
0126000864 Other VA ATC VIRGINIA LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Juanita Bracy practice?
The practice location on file with NPPES is in St Johns, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Juanita Bracy?
The National Provider Identifier (NPI) for Juanita Bracy is 1396855813, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-28.