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NPI Code Detail

MEDICARE: JUDY CULLOR APRN FNP

MEDICARE: JUDY CULLOR APRN FNP
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
1363LF0000XFamily Nurse Practitioner209020006IL
2363LF0000XFamily Nurse Practitioner4017893KY

General Provider Information

NPI Number : 1265081681
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY CULLOR APRN FNP
Provider Business Mailing Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : GALENA
State : IL
Zip : 61036-8118
Country : US
Telephone Number : 815-777-1340
Fax Number :
Provider Business Practice Location Address
First Line : 613 23RD ST STE G30
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2881
Country : US
Telephone Number : 606-327-0036
Fax Number : 606-326-1159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 05/28/2026

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Directions to “ JUDY CULLOR APRN FNP” Practice Location

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