| Stephane Lynn Judd, | |
|
109 S Main St, Wetumka, OK 74883-4015 | |
| (405) 452-5400 | |
| (405) 452-3000 |
| Full Name | Stephane Lynn Judd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 109 S Main St, Wetumka, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407638513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 219036 (Oklahoma) | Primary |
| Entity Name | East Central Oklahoma Family Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316196546 PECOS PAC ID: 3779643994 Enrollment ID: O20090330000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephane Lynn Judd, Po Box 236, Wetumka, OK 74883-0236 Ph: (405) 452-5400 | Stephane Lynn Judd, 109 S Main St, Wetumka, OK 74883-4015 Ph: (405) 452-5400 |
Mrs. Steffanee Renee Edwards, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
Christopher Alan Hitchcock, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 | |
Christie R. Carpenter, APRN-FNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 South Main Street, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
Rebecca Helms, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Broadway St, Box 236, Wetumka, OK 74883 Phone: 405-452-3151 Fax: 405-452-3310 |