Individual
TESS M JUDGE-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DND, ARNP
Contact information
Practice address
320 WEST CHERRY STREET, NORTH LIBERTY, IA 52317
(319) 626-3300
(319) 626-3084
Mailing address
320 WEST CHERRY STREET, NORTH LIBERTY, IA 52317
(319) 626-3300
(319) 626-3084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A080324
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483057
—
IA
01
—
05625
WELLMARK BC
IA
Enumeration date
10/13/2006
Last updated
10/24/2013
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