NPI Search for Physicians and Health Care Providers
JUDE FOX
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1548415508
Individual Registrant:
JUDE FOX
Gender: F
Not Sole Proprietor
Location and contact information for practice:
16319 THIRD STREET GUERNEVILLE, CA 95446 US
Tel: 707-869-5977 Fax: 707-869-5976
Contact information for business:
16319 THIRD STREET GUERNEVILLE, CA 95446 US
Tel: 707-869-5977 Fax: 707-869-5976
Registration Information:
NPI: 1548415508
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | PA19987 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 1598768962 | CA | 05 |
BX/BS | 237310613 | CA | 01 |
| 1356344758 | CA | 05 |
MEDICARE NHIC | ZZZ21461Z | CA | 01 |
MEDICARE NHIC | ZZZ73222Z | CA | 01 |
HEALTH CARE JOBS CA - Page 1