Kayla Rose Judd, APRN | |
100 S Duncan St, Jamestown, TN 38556-3009 | |
(931) 879-5864 | |
(931) 879-3903 |
Full Name | Kayla Rose Judd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 100 S Duncan St, Jamestown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346905072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 29754 (Tennessee) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 29754 (Tennessee) | Primary |
Entity Name | Hs Clinical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740444546 PECOS PAC ID: 7810208006 Enrollment ID: O20151020000655 |
Entity Name | Pain Medicine Of The South, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558887125 PECOS PAC ID: 6800159682 Enrollment ID: O20180409000522 |
Entity Name | Acute Care Clinics Of America, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780235564 PECOS PAC ID: 6305273392 Enrollment ID: O20200304001675 |
Entity Name | Monogram Health Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20201027002061 |
Entity Name | Evernorth Care Providers - Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164100400 PECOS PAC ID: 7911355532 Enrollment ID: O20231130003226 |
Mailing Address | Practice Location Address |
---|---|
Kayla Rose Judd, APRN Po Box 2861, Crossville, TN 38557-2861 Ph: (931) 879-5864 | Kayla Rose Judd, APRN 100 S Duncan St, Jamestown, TN 38556-3009 Ph: (931) 879-5864 |