Stephanie L Judy, FNP-C | |
111 S 6th St, Odessa, DE 19730-2077 | |
(302) 313-1411 | |
(302) 312-6150 |
Full Name | Stephanie L Judy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 111 S 6th St, Odessa, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699143404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | LG-0000882 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | LG-0000882 (Delaware) | Primary |
Entity Name | Creative Medical Consulting, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578051819 PECOS PAC ID: 7719242205 Enrollment ID: O20180605000164 |
Entity Name | Christiana Care Quality Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164061867 PECOS PAC ID: 0143657247 Enrollment ID: O20200303000038 |
Entity Name | Eternally Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750968293 PECOS PAC ID: 5496158867 Enrollment ID: O20220405000992 |
Mailing Address | Practice Location Address |
---|---|
Stephanie L Judy, FNP-C 749 Wood Duck Ct, Middletown, DE 19709-6114 Ph: (302) 382-7340 | Stephanie L Judy, FNP-C 111 S 6th St, Odessa, DE 19730-2077 Ph: (302) 313-1411 |
Stephanie Maignan Fequiere, PMNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Dupont Pkwy, Odessa, DE 19730 Phone: 302-313-1411 |