Provider Demographics
NPI:1609969203
Name:ALLGOOD, JUDY (CRNP)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:BRIERFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35035
Mailing Address - Country:US
Mailing Address - Phone:205-665-1378
Mailing Address - Fax:
Practice Address - Street 1:208 PIERSON AVENUE
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042
Practice Address - Country:US
Practice Address - Phone:205-926-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-022321363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care