Individual
MS. JUDE WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3821
Mailing address
35 ANDYS LN, EASTPORT, NY 11941-1328
(631) 834-0941
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3061861
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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