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Individual

JUDITH L DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 794-5520
(423) 282-6940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
187836
TN
363L00000X
Nurse Practitioner
Primary
F01191311
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087100111
TN
05
Q050171
TN
Enumeration date
01/29/2019
Last updated
04/27/2020
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