Individual
KAYLA ROSE JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
29754
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
29754
TN
Other
Enumeration date
11/08/2021
Last updated
04/01/2024
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