Healthcare Provider Details

I. General information

NPI: 1134271281
Provider Name (Legal Business Name): JUDITH WOMACK JONES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH WOMACK JONES ARNP

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 S VALLEY AVE
COLLINSVILLE AL
35961-3263
US

IV. Provider business mailing address

52 S VALLEY AVE
COLLINSVILLE AL
35961-3263
US

V. Phone/Fax

Practice location:
  • Phone: 850-602-4277
  • Fax: 256-228-3506
Mailing address:
  • Phone: 256-524-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-041207
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1667972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: