# JUDITH LAUREN ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356891220
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN-NP201550 | GA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | RN2012550 | GA | — |
| 363LA2100X | Acute Care Nurse Practitioner | RN201550 | GA | — |
| 363LF0000X | Family Nurse Practitioner | RN201550 | GA | — |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 03/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003182231A | PEACH STATE | GA |
| 05 | — | 003182231A | — | GA |
| 01 | — | 003182231B | PEACH STATE | GA |
| 05 | — | 003182231B | — | GA |
| 01 | — | 04229901 | AMERIGROUP | GA |
| 01 | — | 1304001 | WELLCARE | GA |