| Doctor Name: | JUDY KNOWLTON |
| NPI Number: | 1699031096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WOMENS HEALTH NP |
| License Number: | RN120555 |
| Business Practice Address: | 1003 East Locust Street Ripley County Health Center Doniphan, MO - 639358121 |
| Business Phone Number: | 5739962181 |
| Business Fax Number: | |
| Mailing Address: | Route 8 Box 1378, DONIPHAN |
| State: | MO |
| Postal Code: | 639358121 |
| Phone Number: | 5739963899 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | RN120555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |