Individual
TINA ANN JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9 PINNACLE DR, SUITE 105, FISHERSVILLE, VA 22939-2366
(540) 688-2646
(540) 688-2656
Mailing address
53 EREM WAY, FISHERSVILLE, VA 22939-2132
(540) 256-7302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MJ0925985
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7794398
—
VA
Enumeration date
03/10/2006
Last updated
08/13/2015
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