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Individual
CHANTELLE JUDKINS
Active
Individual
CHANTELLE JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902279433
NPI
—
05
—
Q022065
—
TN
Enumeration date
11/05/2015
Last updated
09/08/2025
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