Individual
MRS. JUDY ANN PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
(662) 756-4023
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
(662) 756-4023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784113
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07857865
—
MS
05
—
2134191
—
LA
01
—
302I507867
MEDICARE PTAN
MS
Enumeration date
08/22/2007
Last updated
01/26/2015
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