Provider Demographics
NPI:1013765049
Name:FERLOW, JUDILYNN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JUDILYNN
Middle Name:
Last Name:FERLOW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 HILLTOP VIEW RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-4223
Mailing Address - Country:US
Mailing Address - Phone:203-770-9670
Mailing Address - Fax:
Practice Address - Street 1:64 MAPLE ST STE A
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1721
Practice Address - Country:US
Practice Address - Phone:860-419-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT16144146N00000X
CT144242163W00000X
MERN84461163W00000X
CT13058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No163W00000XNursing Service ProvidersRegistered Nurse