Individual
GLORIA M DUDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6056
(423) 439-7272
(423) 439-6062
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7272
(423) 439-7235
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
104168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q051270
—
TN
Enumeration date
08/03/2012
Last updated
03/06/2024
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