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NPI Code Detail

MEDICARE: MS. JUDY ANN HARRISON APRN

MEDICARE: MS. JUDY ANN HARRISON APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1060801KY
2363LP0200XPediatric Nurse Practitioner3006997KY

General Provider Information

NPI Number : 1013151711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDY ANN HARRISON APRN
Provider Business Mailing Address
First Line : 650 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1113
Country : US
Telephone Number : 859-288-2425
Fax Number : 859-288-7516
Provider Business Practice Location Address
First Line : 961 BEASLEY ST
Second Line : STE 170
City : LEXINGTON
State : KY
Zip : 40509-4120
Country : US
Telephone Number : 859-226-5022
Fax Number : 859-226-5025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2009
Last Update Date : 04/07/2016

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