Individual
MRS. JENNIFER D JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2700 S ROAN ST STE 300A, JOHNSON CITY, TN 37601-7556
(423) 491-9146
Mailing address
2700 S ROAN ST STE 300A, JOHNSON CITY, TN 37601-7556
(423) 722-2422
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29873
TN
Other
Enumeration date
08/12/2021
Last updated
01/08/2025
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