Davis, Judy Lane
Davis, Judy Lane is an individual health care provider with primary practice located at 1441 S Midlothian Pkwy Suite 100, Midlothian TX 76065-5591. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Judy Lane can be contacted via phone (972) 723-1474.Contact Information
Primary practice address
1441 S Midlothian Pkwy Suite 100
Midlothian TX 76065-5591
Phone: (972) 723-1474
Fax: (972) 723-9423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 532422 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 532422 | Texas |
Profile Details
NPI number | 1841226743 |
---|---|
LBN Legal business name | Davis, Judy Lane |
Credentials | MSN, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Mar 30th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841226743 | NPPES |
Texas | MEDICAID | 155009703 | |
Texas | MEDICAID | 1550097-01 |
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