Provider Demographics
NPI:1700443348
Name:JUDD, ALANNA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:JUDD
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 1:4709 LAKE GEORGE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5427
Mailing Address - Country:US
Mailing Address - Phone:512-716-5167
Mailing Address - Fax:
Practice Address - Street 1:5818 BALCONES DR # 200-D
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4278
Practice Address - Country:US
Practice Address - Phone:512-400-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily