Provider Demographics
NPI:1821250317
Name:BRIGGS, JUDY CHRISTINE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:CHRISTINE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:J.
Other - Middle Name:CHRISTINE
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:4590 ISABELLA INGRAM DR STE B
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-5032
Mailing Address - Country:US
Mailing Address - Phone:850-361-8995
Mailing Address - Fax:
Practice Address - Street 1:4590 ISABELLA INGRAM DR STE B
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5032
Practice Address - Country:US
Practice Address - Phone:850-361-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO119035363LF0000X
FL9417605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO89722761Medicaid
COCOA101505Medicare PIN