Individual provider · Type 1 NPI

Judith Thompson Gore, A.D., R.N., B.S.N, MSN

Adult Health Nurse Practitioner · Manassas, VA

NPI number 1821095498 Active

Practice location

8525 Rolling Rd, Suite 222
Manassas, VA 20110-3647

Fax (703) 335-0750

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X0024047673 (VA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1821095498

Judith Thompson Gore, A.D., R.N., B.S.N, MSN's National Provider Identifier is 1821095498, issued on Jun 28, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Manassas, VA. The record was last updated on Mar 2, 2010.