| Stephanie L Judy, FNP-C | |
|
111 S 6th St, Odessa, DE 19730-2077 | |
| (302) 313-1411 | |
| (302) 312-6150 |
| Full Name | Stephanie L Judy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 111 S 6th St, Odessa, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699143404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | LG-0000882 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG-0000882 (Delaware) | Primary |
| Entity Name | Creative Medical Consulting, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578051819 PECOS PAC ID: 7719242205 Enrollment ID: O20180605000164 |
| Entity Name | Christiana Care Quality Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164061867 PECOS PAC ID: 0143657247 Enrollment ID: O20200303000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L Judy, FNP-C 749 Wood Duck Ct, Middletown, DE 19709-6114 Ph: (302) 382-7340 | Stephanie L Judy, FNP-C 111 S 6th St, Odessa, DE 19730-2077 Ph: (302) 313-1411 |
Stephanie Maignan Fequiere, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Dupont Pkwy, Odessa, DE 19730 Phone: 302-313-1411 | |
Ashley Doyle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 6th St, Odessa, DE 19730 Phone: 302-313-1411 Fax: 844-312-6150 |