Provider Demographics
NPI:1073739876
Name:AYERS, JUDY S (RN)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:S
Last Name:AYERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:HURDLE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27541-9610
Mailing Address - Country:US
Mailing Address - Phone:336-223-0444
Mailing Address - Fax:336-223-0449
Practice Address - Street 1:2563 ERIC LN
Practice Address - Street 2:K
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-4303
Practice Address - Country:US
Practice Address - Phone:336-223-0444
Practice Address - Fax:336-223-0449
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC048616163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health