Branscom, Judy J

Branscom, Judy J is an individual health care provider with primary practice located at 2850 Keagy Road , Salem VA 24153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Branscom, Judy J can be contacted via phone (540) 375-9375.

Contact Information

Primary practice address
2850 Keagy Road Salem VA 24153
Phone: (540) 375-9375
Fax: (540) 375-9376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0001104398 Virginia

Profile Details

NPI number 1952373524
LBN Legal business name Branscom, Judy J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952373524 NPPES
Virginia MEDICAID 010041414

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