Individual
MS. JUDY G PERDUE
Active
Individual
MS. JUDY G PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP108623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122331100
FIRST CARE
TX
05
—
147586502
—
TX
05
—
147586504
—
TX
01
—
314012
BCBS OF WYOMING
WY
01
—
87N572
BCBS OLD PRACTICE SITE #
TX
01
—
8C9177
BCBS
TX
Enumeration date
10/13/2005
Last updated
11/14/2016
Update your record
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