Walton, Judy Lynn

Walton, Judy Lynn is an individual health care provider with primary practice located at 271 Medical Park Blvd , Bristol TN 37620-7455. 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. Walton, Judy Lynn can be contacted via phone (423) 968-2311.

Contact Information

Primary practice address
271 Medical Park Blvd Bristol TN 37620-7455
Phone: (423) 968-2311
Fax: (423) 968-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000008467 Tennessee

Profile Details

NPI number 1497748321
LBN Legal business name Walton, Judy Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 1st, 2012 - about 12 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 1497748321 NPPES
Tennessee MEDICAID 3649204

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