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Bonnie Sue Judd, APN
Family Nurse Practitioner in Waverly, Tennessee
NPI 1912922816

Bonnie Sue Judd is a Family Nurse Practitioner based in Waverly, TN and is specialized in Family. Bonnie Sue Judd practices in Waverly, TN and has the professional credentials of APN. The NPI Number for Bonnie Sue Judd is 1912922816 and holds a License No. 6534 (Tennessee).

The current practice location address for Bonnie Sue Judd is 203 E Commerce St, Waverly, TN and can be reached out via phone at 931-296-5833 and via fax at 931-296-7388.

Location: 203 E Commerce St, Waverly, TN, 37185-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912922816
Provider Name
Bonnie Sue Judd
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
203 E Commerce St, Waverly, TN, 37185-1629
Phone Number
931-296-5833
Fax Number
931-296-7388
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36404231 05 TN
4157094 01 TN BCBS OF TN PIN
institution
Provider Business Practice Location Address Details
Address
203 E Commerce St
City
Waverly
State
Tennessee
Zip
37185-1629
Phone Number
931-296-5833
Fax Number
931-296-7388
person
Provider Business Mailing Address Details
Address
203 E Commerce St
City
Waverly
State
Tennessee
Zip
37185-1629
Phone Number
931-296-5833
Fax Number
931-296-7388
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6534 (Tennessee)
Definition
Definition to come...
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