| Doctor Name: | JUDE FOX |
| NPI Number: | 1548415508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PA19987 |
| Business Practice Address: | 16319 Third Street Guerneville, CA - 95446 |
| Business Phone Number: | 7078695977 |
| Business Fax Number: | 7078695976 |
| Mailing Address: | 16319 Third Street, GUERNEVILLE |
| State: | CA |
| Postal Code: | 95446 |
| Phone Number: | 7078695977 |
| Fax Number: | 7078695976 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA19987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |