Doctor Name: | MRS. AMBER JUNE JUDD |
NPI Number: | 1285003426 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9224994 |
Business Practice Address: | 415 E Noble Ave Bushnell, FL - 335135603 |
Business Phone Number: | 3525693145 |
Business Fax Number: | 3527936067 |
Mailing Address: | 1425 S Us 301, SUMTERVILLE |
State: | FL |
Postal Code: | 335855141 |
Phone Number: | 3525693145 |
Fax Number: | 3527936067 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9224994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |