Individual
MS. JUDY GREENE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
Mailing address
559 GREEN SHEPHERD FARM RD, N WILKESBORO, NC 28659-8112
(336) 667-1373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050230
—
NC
Enumeration date
12/14/2005
Last updated
08/17/2007
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