Provider Demographics
NPI:1831121292
Name:ROGERS, JUDY S (FNPC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:S
Last Name:ROGERS
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2374
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71294-2374
Mailing Address - Country:US
Mailing Address - Phone:318-396-3800
Mailing Address - Fax:318-396-3852
Practice Address - Street 1:206 BELL LN
Practice Address - Street 2:SUITE C&D
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-6300
Practice Address - Country:US
Practice Address - Phone:318-396-3800
Practice Address - Fax:318-396-3852
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN047625163W00000X
LAAP04311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H412Medicare ID - Type Unspecified