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Individual

MS. JUDITH MARIE CALDWELL

Active
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Individual

MS. JUDITH MARIE CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN7113
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
APN7113
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3642871
TN
01
P00382689
RR MEDICARE
TN
Enumeration date
12/12/2005
Last updated
12/07/2017
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