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NPI Code Detail

MEDICARE: MS. JUDY C RAYMOND NP

MEDICARE: MS. JUDY C RAYMOND NP
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
1363L00000XNurse PractitionerR870587MS
2363L00000XNurse PractitionerA01313AR

General Provider Information

NPI Number : 1447357850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDY C RAYMOND NP
Provider Business Mailing Address
First Line : 1999 WOODLAKE DR
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-9458
Country : US
Telephone Number : 662-324-1515
Fax Number :
Provider Business Practice Location Address
First Line : 1100 COLLEGE ST
Second Line : MUW-330 MISSISSIPPI UNIVERSITY FOR WOMEN
City : COLUMBUS
State : MS
Zip : 39701-5800
Country : US
Telephone Number : 662-329-7289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JUDY C RAYMOND NP” Practice Location

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