Champion, Judith M

Champion, Judith M is an individual health care provider with primary practice located at 1040 River Oaks Dr Ste. 302, Jackson MS 39232-9530. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Champion, Judith M can be contacted via phone (601) 939-9923.

Contact Information

Primary practice address
1040 River Oaks Dr Ste. 302 Jackson MS 39232-9530
Phone: (601) 939-9923
Fax: (601) 939-9924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X R778873 Mississippi

Profile Details

NPI number 1477872281
LBN Legal business name Champion, Judith M
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated May 19th, 2010 - about 14 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 1477872281 NPPES
Mississippi Other R778873 LICENSE NUMBER

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