| Doctor Name: | JUDY FLYNN |
| NPI Number: | 1548296536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP005872B |
| Business Practice Address: | 122 W. Main St. Mt. Jewett, PA - 16740 |
| Business Phone Number: | 8149751188 |
| Business Fax Number: | 8149751187 |
| Mailing Address: | 122 W. Main St., MT. JEWETT |
| State: | PA |
| Postal Code: | 16740 |
| Phone Number: | 8149751188 |
| Fax Number: | 8149751187 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 03/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | TP005872B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |