Bonnie Sue Judd, APN | |
203 E Commerce St, Waverly, TN 37185-1629 | |
(931) 296-5833 | |
(931) 296-7388 |
Full Name | Bonnie Sue Judd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 203 E Commerce St, Waverly, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912922816 | NPI | - | NPPES |
36404231 | Medicaid | TN | |
4157094 | Other | TN | BCBS OF TN PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6534 (Tennessee) | Primary |
Entity Name | Memorial Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154353092 PECOS PAC ID: 8820187941 Enrollment ID: O20071127000667 |
Mailing Address | Practice Location Address |
---|---|
Bonnie Sue Judd, APN 203 E Commerce St, Waverly, TN 37185-1629 Ph: (931) 296-5833 | Bonnie Sue Judd, APN 203 E Commerce St, Waverly, TN 37185-1629 Ph: (931) 296-5833 |
Kimberly Lynn Masengill, FNP-BC, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St, Waverly, TN 37185 Phone: 615-299-7378 Fax: 615-299-7399 | |
Kristie Zimmerman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 W Main St, Waverly, TN 37185 Phone: 931-299-7378 Fax: 931-299-7399 | |
Aylessa Baker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 Sr-13, Waverly, TN 37185 Phone: 931-296-4203 | |
Mrs. Heather Blue Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Main St, Waverly, TN 37185 Phone: 931-299-5001 Fax: 931-299-5003 | |
Mrs. Christie Madge King-patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215b Holly Lane, Waverly, TN 37185 Phone: 931-296-9969 Fax: 931-296-8100 | |
Mary B. Davis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Holly Ln, Waverly, TN 37185 Phone: 931-296-2231 Fax: 931-296-4590 | |
Tiffany Renee Bagwell, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Gregson Pl, Waverly, TN 37185 Phone: 931-209-7033 |