# JUDY XIONG

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

## Provider details

- **NPI number:** 1669712089
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 9501688 | CA | Yes |
| 363LF0000X | Family Nurse Practitioner | 95018688 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95018688 | CA | — |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 06/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10AQ | — | CA |
