Provider Demographics
NPI:1952294654
Name:STUART, BRANDY (APRN)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:STUART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5097 E HIGHWAY 316
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-3452
Mailing Address - Country:US
Mailing Address - Phone:352-615-1306
Mailing Address - Fax:
Practice Address - Street 1:6160 SW HIGHWAY 200 STE 119
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-5603
Practice Address - Country:US
Practice Address - Phone:352-615-1306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily