Individual
MR. JUDAH STEVEN DONALDSON
Active
Individual
MR. JUDAH STEVEN DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041430568
IL
163W00000X
Registered Nurse
28225076A
IN
363LF0000X
Family Nurse Practitioner
Primary
209.026796
IL
Other
Enumeration date
01/20/2023
Last updated
02/11/2023
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