Provider Demographics
NPI:1598062762
Name:YAPLE, JUDY (NP)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:YAPLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:GITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3087
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-3087
Mailing Address - Country:US
Mailing Address - Phone:985-370-5656
Mailing Address - Fax:985-370-4225
Practice Address - Street 1:530 W PINE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3780
Practice Address - Country:US
Practice Address - Phone:985-370-5656
Practice Address - Fax:985-370-4225
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-102330363LF0000X
LAAP08529363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily