MS. JUDY B. BAIN N.P. NPI 1811133622

NPI Information

NPI: 1811133622
Provider Name: MS. JUDY B. BAIN, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1022 GREYSTONE SQ
JACKSON, TN
ZIP 38305
Phone: (731) 300-2001
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MS. Judy B. Bain, N.P. is a family nurse practitioner in Jackson, TN with 16 years of experience. MS. Judy B. Bain, N.P. NPI is 1811133622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1022 GREYSTONE SQ
JACKSON, TN
ZIP 38305-580
Phone: (731) 300-2001
Fax: (731) 240-8095

The NPI 1811133622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 2/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN133680	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	13649	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL6903	OTHER	TENNESSEE	TGBA, LLC
2	1513747	MEDICAID	TENNESSEE
3	4258972	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD TN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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