Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN7113 | TN |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN7113 | TN |
NPI | 1013992106 |
---|---|
Provider Name | Ms. Judith Marie Caldwell |
First Address | Nashville, TN 37203-1562 |
Second Address | Nashville, TN 37203-1562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2005 |
Last Update Date | 07/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3642871 | (05) | TN |
P00382689 | RR MEDICARE (01) | TN |
S57284 | (02) | TN |