Individual
JUDY A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
935 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 315-5340
(434) 315-2859
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024184823
VA
363LF0000X
Family Nurse Practitioner
Primary
0021484823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004352
—
NC
05
—
NP0496
—
SC
01
—
P00766588
RAIL ROAD MEDICARE
SC
05
—
S86368
—
SC
Enumeration date
11/20/2006
Last updated
09/06/2022
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