Basic Information
Provider Information
NPI: 1841427432
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAYTON
FirstName: JUDITH
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1209
Address2:  
City: FRANKLIN
State: NC
PostalCode: 287440569
CountryCode: US
TelephoneNumber: 8283498288
FaxNumber: 8283498289
Practice Location
Address1: 190 RIVERVIEW ST
Address2:  
City: FRANKLIN
State: NC
PostalCode: 287342612
CountryCode: US
TelephoneNumber: 8283498288
FaxNumber: 8283498289
Other Information
ProviderEnumerationDate: 06/22/2009
LastUpdateDate: 10/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X255143NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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