| Dorothy Marie Dudley, APRN | |
|
95 Kingswood Dr, Campbellsville, KY 42718-9604 | |
| (270) 789-2788 | |
| (502) 368-9820 |
| Full Name | Dorothy Marie Dudley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 95 Kingswood Dr, Campbellsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144504689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3007170 (Kentucky) | Primary |
| Entity Name | Taylor Regional Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Marie Dudley, APRN 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 Ph: (270) 789-2788 | Dorothy Marie Dudley, APRN 95 Kingswood Dr, Campbellsville, KY 42718-9604 Ph: (270) 789-2788 |
Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198 | |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Samantha Shipp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |