Individual
JUDITH D WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
221 W TYRONE RD, OAK RIDGE, TN 37830-6572
(865) 483-6343
(865) 483-1185
Mailing address
221 W TYRONE RD, OAK RIDGE, TN 37830-6572
(865) 483-6343
(865) 483-1185
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ANP08229
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440734
—
TN
Enumeration date
06/14/2006
Last updated
12/11/2020
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