Individual
JODY TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2701 S INTERSTATE 35, ROUND ROCK, TX 78664-7320
(512) 218-3926
(512) 218-0179
Mailing address
4106 CISCO VALLEY DR, ROUND ROCK, TX 78664-3939
(850) 217-6762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
639393
TX
363L00000X
Nurse Practitioner
ARNP9207392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307275400
—
FL
Enumeration date
12/14/2005
Last updated
06/21/2011
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