Individual
JUDITH MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP, CPNP
Contact information
Practice address
315 W MULBERRY, PILOT KNOB, MO 63663
(573) 546-0602
(573) 546-0624
Mailing address
PO BOX 157, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
086052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423134865
—
MO
Enumeration date
07/17/2006
Last updated
07/21/2022
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