Shirley A Braddy, LPN - Licensed Practical Nurse in Mount Vernon, IL

Shirley A Braddy, LPN is a Licensed Practical Nurse based in Mount Vernon, Illinois. Shirley A Braddy is licensed to practice in Illinois (license number 043068030) and her current practice location is 2920 Veterans Memorial Dr, Mount Vernon, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 244-6544.

NPI number for Shirley A Braddy is 1750659546 and her current mailing address is Po Box 155, Christopher, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750659546.

Contact Information

Shirley A Braddy, LPN
2920 Veterans Memorial Dr,
Mount Vernon, IL 62864-5924
(618) 244-6544
(618) 244-6577



Provider's Profile

Full NameShirley A Braddy
GenderFemale
SpecialityLicensed Practical Nurse
Location2920 Veterans Memorial Dr, Mount Vernon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750659546
  • Provider Enumeration Date: 12/07/2011
  • Last Update Date: 12/07/2011

Medical Identifiers

Medical identifiers for Shirley A Braddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750659546NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043068030 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley A Braddy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shirley A Braddy, LPN
Po Box 155,
Christopher, IL 62822-0155

Ph: (618) 724-2436
Shirley A Braddy, LPN
2920 Veterans Memorial Dr,
Mount Vernon, IL 62864-5924

Ph: (618) 244-6544

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Mount Vernon, IL

April Dawn Lewis, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    
Judy K Jenkins, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    Fax: 618-244-6577
Andrea Hills, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 16342 N Il Hwy 37, Mount Vernon, IL 62864
Phone: 618-242-1510    Fax: 618-242-0958
Stacy Owens, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    
Ronda Kaye Wilson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    Fax: 618-244-6577
R Jeanette Wangler, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    
Olivia Nanette Dalmasso, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-244-6544    

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