TRACEY LYNN JUDY

CHARLESTON, WV
NPI1770171225
Former NameTRACEY GREGORY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WV  108128)
Enumeration Date2021-01-08
Last Update Date2021-01-09
Business Address
TRACEY LYNN JUDY APRN-CNP
3100 MACCORKLE AVE SE STE 411
CHARLESTON, WV 25304-1230
Phone number: 304-343-4400
Mailing Address
TRACEY LYNN JUDY APRN-CNP
1401 LAKEWOOD DR
CHARLESTON, WV 25312-5930
Phone number: 304-651-5734
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