JUDY ANN CONVERY FNP NPI 1295054237

NPI Information

  • NPI: 1295054237
  • Provider Name: JUDY ANN CONVERY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1221 PINE GROVE AVE
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 989-3564

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NPI Details

Judy Ann Convery, FNP is a family nurse practitioner in Port Huron, MI. Judy Ann Convery, FNP NPI is 1295054237. 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:

1221 PINE GROVE AVE
PORT HURON, MI
ZIP 48060-511
Phone: (810) 989-3564
Fax: (810) 985-2669

The NPI 1295054237 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 5/28/2010 and was last updated on 3/22/2017.

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
1363LF0000XNurse PractitionerFamily11MICHIGANYes

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: 11/21/2025

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