Individual
JUDY XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
568 E HERNDON AVE STE 201, FRESNO, CA 93720-2989
(559) 228-6600
(559) 226-3709
Mailing address
568 E HERNDON AVE STE 201, FRESNO, CA 93720-2989
(559) 228-6600
(559) 226-3709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9501688
CA
363LF0000X
Family Nurse Practitioner
95018688
CA
363LP2300X
Primary Care Nurse Practitioner
95018688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10AQ
—
CA
Enumeration date
02/21/2013
Last updated
06/15/2022
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