Georgana Cee Tudor, ARNP
Individual provider Active NPI Family Nurse Practitioner · Campton, KY
NPI 1023115458 · NPPES record last updated Sep 21, 2007
Key facts
- NPI
- 1023115458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5010P (KY)
- Practice address
- 40 Main St
Saint Luke'S Family Clinic
Campton, KY 41301-0000 - Phone
- (606) 668-9076
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010P | KY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010P | KY | Yes |
Addresses
Primary practice location
40 Main St
Saint Luke'S Family Clinic
Campton, KY 41301-0000
Mailing address
4030 Tates Creek Rd
Apt 5604
Lexington, KY 40517-3073
Phone (859) 200-9865
Other providers in Campton, KY
- Kristina Slusher
- Nicole E Smith
- Sunshine M Smoot
- Amy Christina Terry
- The Recovery Center, LLC
- United Clinics of Kentucky LLC
- William Watkins
- Misty Williams
- Wolfe County Board of Education
- Wolfe County Health Care Center, Inc.
All providers in Campton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.