Provider Demographics
NPI:1881192383
Name:NESWICK, JUDI D (MSN RN CNL NCSN)
Entity Type:Individual
Prefix:MRS
First Name:JUDI
Middle Name:D
Last Name:NESWICK
Suffix:
Gender:F
Credentials:MSN RN CNL NCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-2821
Mailing Address - Country:US
Mailing Address - Phone:712-276-3538
Mailing Address - Fax:
Practice Address - Street 1:3625 G ST
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3466
Practice Address - Country:US
Practice Address - Phone:402-494-3061
Practice Address - Fax:402-494-3061
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081725163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool