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Individual

RAEANNA LYNN JUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 640-7937
Mailing address
PO BOX 33603, AMARILLO, TX 79120-3603
(860) 640-7937

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
935602
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1111957
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022140010
ANCC -PMHNP-BC CERTIFICATION
Enumeration date
02/20/2023
Last updated
03/12/2023
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