Basic Information
| Provider Information | |||||||||
| NPI: | 1073739876 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AYERS | ||||||||
| FirstName: | JUDY | ||||||||
| MiddleName: | S. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1081 WILSON RD | ||||||||
| Address2: | |||||||||
| City: | HURDLE MILLS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275419610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362230444 | ||||||||
| FaxNumber: | 3362230449 | ||||||||
| Practice Location | |||||||||
| Address1: | 2563 ERIC LN | ||||||||
| Address2: | K | ||||||||
| City: | BURLINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272154303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362230444 | ||||||||
| FaxNumber: | 3362230449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 03/04/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 048616 | NC | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.