Individual provider · Type 1 NPI
Michelle Dudley, AGPCNP
Gerontology Nurse Practitioner · Macon, GA
NPI number
1104276708
Active
Practice location
240 Sheraton Blvd Ste 290
Macon, GA 31210-1358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN147583 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104276708
Michelle Dudley, AGPCNP's National Provider Identifier is 1104276708, issued on Jun 15, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Macon, GA. The record was last updated on Aug 18, 2020.