Individual
MRS. JUDITH E. CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP-C
Contact information
Practice address
300 BULL ST, SUITE 102, SAVANNAH, GA 31401-4347
(912) 231-9956
(912) 232-1148
Mailing address
300 BULL ST, SUITE 102, SAVANNAH, GA 31401-4347
(912) 231-9956
(912) 232-1148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN049370
GA
363LA2200X
Adult Health Nurse Practitioner
RN049370
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143588A
—
GA
01
—
P01287915
RAILROAD MEDICARE
GA
Enumeration date
05/09/2007
Last updated
09/10/2014
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