Tudor, Jody

Tudor, Jody is an individual health care provider with primary practice located at 2701 S Interstate 35 , Round Rock TX 78664-7320. 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. Tudor, Jody can be contacted via phone (512) 218-3926.

Contact Information

Primary practice address
2701 S Interstate 35 Round Rock TX 78664-7320
Phone: (512) 218-3926
Fax: (512) 218-0179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9207392 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 639393 Texas

Profile Details

NPI number 1518942358
LBN Legal business name Tudor, Jody
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jun 21st, 2011 - about 15 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 1518942358 NPPES
Florida MEDICAID 307275400

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