NPI 1548920499 · live from the CMS NPI Registry
Juliaetta Nichole Bratton, PNP
Nurse Practitioner, Pediatrics in Poplar Bluff, MO. National Provider Identifier 1548920499, active.
NPI record
| NPI | 1548920499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901 |
| Practice phone | 573-727-5500 |
| Mailing address | 110 S 2nd St, Ellington, MO 63638 |
| Enumerated | December 20, 2021 |
| Last updated | October 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2020023132 (MO) |
| Registered Nurse | 163W00000X | 2011025475 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.