Provider Demographics
NPI:1881855450
Name:TONRY, JUDY MARIE (APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:MARIE
Last Name:TONRY
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 W LEGACY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-6444
Mailing Address - Country:US
Mailing Address - Phone:217-787-8870
Mailing Address - Fax:217-787-6158
Practice Address - Street 1:1118 W LEGACY POINTE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-6444
Practice Address - Country:US
Practice Address - Phone:217-787-8870
Practice Address - Fax:217-787-6158
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003244363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner