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MRS. JENNIFER D JUDY PMHNP-BC NPI 1326713280


NPI Information

NPI: 1326713280
Provider Name: MRS. JENNIFER D JUDY, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: FRONTIER HEALTH

PECOS Registration: Yes

Address:
109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
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MRS. Jennifer D Judy, PMHNP-BC is a psychiatric/mental health nurse practitioner in Johnson City, TN with 3 years of experience. MRS. Jennifer D Judy, PMHNP-BC NPI is 1326713280. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604-668
Phone: (423) 232-2600
Fax: (423) 467-3644

The NPI 1326713280 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health29873TENNESSEEYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.