Provider Demographics
NPI:1952477796
Name:HARRIS, JUDY LYNN (RN, MSN, APRN-C)
Entity Type:Individual
Prefix:MISS
First Name:JUDY
Middle Name:LYNN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN, MSN, APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US DEPARTMENT OF STATE
Mailing Address - Street 2:M-MED-QI, 2401 E STREET NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20522-0001
Mailing Address - Country:US
Mailing Address - Phone:202-663-2453
Mailing Address - Fax:
Practice Address - Street 1:US DEPARTMENT OF STATE
Practice Address - Street 2:M-MED-QI, 2401 E STREET NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily