Jody Tudor is a Nurse Practitioner in Round Rock, Texas. Jody Tudor practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jody Tudor is 1518942358. The last update date is 2011-06-21.
Jody Tudor's current location address is 4106 Cisco Valley Dr, Round Rock, Texas. You can contact this provider via phone number 8502176762. The mailing address for Jody Tudor is 4106 Cisco Valley Dr, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Tudor |
|---|---|
| Address | 4106 Cisco Valley Dr, Round Rock, Texas |
| Phone Number | 8502176762 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1518942358 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2011-06-21 |
Provider Mailing Address Detail
| Address | 4106 Cisco Valley Dr |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786643939 |
| Phone Number | 8502176762 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP9207392 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307275400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jody Tudor by the Centers for Medicare & Medicaid Services?
The Jody Tudor has been issued the NPI (National Provider Identifier) 1518942358, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jody Tudor's facilities are geographically located?
The facilities of Jody Tudor are physically situated at the following location: 4106 Cisco Valley Dr, Round Rock, TX, 786643939.
What is the Jody Tudor's specialty and taxonomy code?
The Jody Tudor's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518942358 to Jody Tudor?
The Jody Tudor received its 1518942358 assignment from the Centers for Medicare & Medicaid Services on 2005-12-14.
As of what date was the information regarding Jody Tudor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jody Tudor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-21.
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