National Provider Identifier

Stacy Danielle Judd, NP

Stacy Danielle Judd, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Penfield, NY and a listed phone number of (585) 598-8505.

NPI 1093066250Penfield, NYFamily Nurse Practitioner

Profile Overview

NPI
1093066250
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 27, 2012
Last Updated
July 22, 2023

Practice Location

  • 2212 Penfield RD Ste 100
  • Penfield, NY 14526-1756

Phone: (585) 598-8505

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Family Nurse Practitioner (363LF0000X)

Endpoints

  • sjackson112394@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1093066250
Entity Type
Individual
Last Name
Judd
First Name
Stacy
Middle Name
Danielle
Credential
NP
Mailing Street Address
2212 Penfield RD Ste 100
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1756
Mailing Country
US
Mailing Phone
(585) 598-8505
Practice Street Address
2212 Penfield RD Ste 100
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1756
Practice Country
US
Practice Phone
(585) 598-8505
Enumeration Date
September 27, 2012
Last Updated
July 22, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 24, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X)