Doctor Name: | JUDY KAREN PHIPPS |
NPI Number: | 1093777450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-C |
License Number: | 243833 |
Business Practice Address: | 65 Cedar Trails Dr Belton, TX - 765136507 |
Business Phone Number: | 2547809891 |
Business Fax Number: | 2547809869 |
Mailing Address: | 65 Cedar Trails Dr, BELTON |
State: | TX |
Postal Code: | 765136507 |
Phone Number: | 2547809891 |
Fax Number: | 2547809869 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 09/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 243833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |