Dedeker, Judith L

Dedeker, Judith L is an individual health care provider with primary practice located at 2650 Executive Park Nw Suite 5, Cleveland TN 37312-2746. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / Emergency is her primary health care specialty. Dedeker, Judith L can be contacted via phone (423) 479-9679.

Contact Information

Primary practice address
2650 Executive Park Nw Suite 5 Cleveland TN 37312-2746
Phone: (423) 479-9679
Fax: (423) 559-9046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 71050 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16832 Tennessee

Profile Details

NPI number 1740545151
LBN Legal business name Dedeker, Judith L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jul 19th, 2012 - 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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