Individual
JUDITH MAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC RN, CAC
Contact information
Practice address
7300 GROVE RD, BROOKSVILLE, FL 34613-6012
(352) 678-5553
(352) 544-8354
Mailing address
7300 GROVE RD, BROOKSVILLE, FL 34613-6012
(352) 678-5553
(352) 544-8354
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN9179350
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9179350
FL
Other
Enumeration date
09/27/2016
Last updated
03/07/2017
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