Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LUCY BROADDUS, MMS, PA-C, ATC.
ActiveMS. LUCY BROADDUS, MMS, PA-C, ATC. is a Physician Assistant healthcare provider located in O FALLON, Illinois. NPI 1114299419 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · O FALLON, IL
Registration Details
- NPI Number
- 1114299419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2012 (14.52539504978 yrs)
- Last Updated
- Jan 26, 2026
- License
-
085004281 (IL)
Practice Information
- Address
-
310 N 7 HILLS RD STE 220O FALLON, IL, 622694111Browse IL providers · Browse ZIP 62269
- Phone
- 6186246181
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. REBECCA SUE RIEPSHOFF | PA-C | 1497754634 |
| TINA ANN CLOIN | PA-C | 1902916851 |
| MRS. VANESSA MARIE STULTS | PA-C | 1689869588 |
| MS. RENEE N RUTHERFORD | PA-C | 1619166345 |
| CANDACE DONYUSHA CHARLES | PA | 1922284504 |
| KAREN DYER BLACKWELL | P.A. | 1487983664 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.