Individual
MS. JUDITH DIANNA AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
910 MADISON AVE STE 922, MEMPHIS, TN 38103-3483
(901) 448-5630
(901) 448-7255
Mailing address
910 MADISON AVE STE 922, MEMPHIS, TN 38103-3483
(901) 448-5630
(901) 448-7255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032431
—
TN
Enumeration date
10/04/2005
Last updated
03/29/2018
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