Individual
MS. JUDY ANN SHIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1100 REYNOLDS BLVD, WINSTON SALEM, NC 27105-3400
(336) 896-4475
(336) 896-4481
Mailing address
1100 REYNOLDS BLVD, WINSTON SALEM, NC 27105-3400
(336) 896-4475
(336) 896-4481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
122798
NC
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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