BONNIE SUE JUDD APN NPI 1912922816

NPI Information

  • NPI: 1912922816
  • Provider Name: BONNIE SUE JUDD, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 203 E COMMERCE ST
    WAVERLY, TN
    ZIP 37185
  • Phone: (931) 296-5833

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NPI Details

Bonnie Sue Judd, APN is a family nurse practitioner in Waverly, TN. Bonnie Sue Judd, APN NPI is 1912922816. 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:

203 E COMMERCE ST
WAVERLY, TN
ZIP 37185-629
Phone: (931) 296-5833
Fax: (931) 296-7388

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/19/2009.

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 PractitionerFamily6534TENNESSEEYes

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
136404231MEDICARE PINTENNESSEE
2Q46888MEDICARE UPINTENNESSEE
336404231MEDICAIDTENNESSEE
44157094OTHERTENNESSEEBCBS OF TN PIN

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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