Individual
MS. JUDY J BRANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2850 KEAGY ROAD, SALEM, VA 24153
(540) 375-9375
(540) 375-9376
Mailing address
PO BOX 4127, ROANOKE, VA 24015
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001104398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010041414
—
VA
Enumeration date
02/07/2006
Last updated
09/07/2011
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