Kelley, Judy Ann

Kelley, Judy Ann is an individual health care provider with primary practice located at 1210 E Almond Ave , Madera CA 93637-5606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kelley, Judy Ann can be contacted via phone (559) 457-6800.

Contact Information

Primary practice address
1210 E Almond Ave Madera CA 93637-5606
Phone: (559) 457-6800
Fax: (559) 675-5532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP10946 California

Profile Details

NPI number 1881811685
LBN Legal business name Kelley, Judy Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 7th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881811685 NPPES
California MEDICAID RN467902

Popular Providers