Individual
JUDY LYNN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 968-2311
(423) 968-2312
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3257
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000008467
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3649204
—
TN
Enumeration date
08/25/2005
Last updated
08/01/2012
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