MEDICARE: MRS. JUDALON ELLICE GARNETT RN

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
1	163W00000X	Registered Nurse	576955	CA

General Provider Information

NPI Number	:	1245406610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDALON ELLICE GARNETT RN

Provider Business Mailing Address
First Line	:	1738 SOUTH TREMONT STREET
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-5732
Country	:	US
Telephone Number	:	760-439-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1738 SOUTH TREMONT STREET
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-5732
Country	:	US
Telephone Number	:	760-439-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	09/11/2012

Similar Medicare Providers

1003202961 — NUBIA AMPARO CHONG M.D.
Practice Location Address:

517 N HORNE ST
OCEANSIDE, CA
92054-2518

Practice Phone: 760-631-5000
Practice Fax: 760-414-3892

1184182214 — DR. ANDREAS MARWICK PHD
Practice Location Address:

1759 OCEANSIDE BLVD STE C
OCEANSIDE, CA
92054-3449

Practice Phone: 619-431-2272
Practice Fax: 619-768-5705

1518353960 — CRAIG-JONES AND FLYNN PHYSICAL THERAPY PC
Practice Location Address:

713 MISSION AVE STE B
OCEANSIDE, CA
92054-2852

Practice Phone: 623-261-8703
Practice Fax:

1366129470 — MIA DANIELLE DAGGETT
Practice Location Address:

321 CASSIDY ST
OCEANSIDE, CA
92054-5314

Practice Phone: 760-721-2171
Practice Fax:

1548851280 — NAVNEET K. BODDU, M. D. A PROFESSIONAL CORPORATION
Practice Location Address:

2125 S EL CAMINO REAL STE 200
OCEANSIDE, CA
92054-6260

Practice Phone: 760-429-7172
Practice Fax: 760-429-7161

1811686090 — JAID P HOLMAN CMT
Practice Location Address:

336 GARFIELD ST APT 3
OCEANSIDE, CA
92054-3290

Practice Phone: 760-525-3891
Practice Fax:

Directions to “ MRS. JUDALON ELLICE GARNETT RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.