Judith L Dedeker, RN - Registered Nurse in Cleveland, TN

Judith L Dedeker, RN is a Registered Nurse - Emergency based in Cleveland, Tennessee. Judith L Dedeker is licensed to practice in Tennessee (license number 71050) and her current practice location is 2650 Executive Park Nw, Suite 5, Cleveland, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 479-9679.

NPI number for Judith L Dedeker is 1740545151 and her current mailing address is 2650 Executive Park Nw, Suite 5, Cleveland, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740545151.

Contact Information

Judith L Dedeker, RN
2650 Executive Park Nw, Suite 5,
Cleveland, TN 37312-2746
(423) 479-9679
(423) 559-9046

Map and Direction




Provider's Profile

Full NameJudith L Dedeker
GenderFemale
SpecialityRegistered Nurse - Emergency
Location2650 Executive Park Nw, Cleveland, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740545151
  • Provider Enumeration Date: 07/11/2012
  • Last Update Date: 07/19/2012

Medical Identifiers

Medical identifiers for Judith L Dedeker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740545151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 71050 (Tennessee)Primary
363L00000XNurse Practitioner 16832 (Tennessee)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith L Dedeker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Judith L Dedeker, RN
2650 Executive Park Nw, Suite 5,
Cleveland, TN 37312-2746

Ph: (423) 479-9679
Judith L Dedeker, RN
2650 Executive Park Nw, Suite 5,
Cleveland, TN 37312-2746

Ph: (423) 479-9679

Reviews and Comments


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