MRS. JUDY GENTRY CORCORAN C.F.N.P. NPI 1326161134

NPI Information

NPI: 1326161134
Provider Name: MRS. JUDY GENTRY CORCORAN, C.F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9430 FORESTWOOD LANE
#100
MANASSAS, VA
ZIP 20110
Phone: (703) 365-0227
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MRS. Judy Gentry Corcoran, C.F.N.P. is a family nurse practitioner in Manassas, VA. MRS. Judy Gentry Corcoran, C.F.N.P. NPI is 1326161134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9430 FORESTWOOD LANE
#100
MANASSAS, VA
ZIP 20110
Phone: (703) 365-0227
Fax: (703) 365-0332

The enumeration date for this NPI number is 4/8/2007 and was last updated on 7/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0024164084	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024164084	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1326161134	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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