MRS. JUDITH ANN DAMSTROM (NPI# 1013975374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013975374 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH ANN DAMSTROM |
| Credential | R.N. |
| Practice Address |
414 Creedmoor Rd Jacksonville NC 28546-6021 |
| Practice Telephone | 9105810116 |
| Mailing Telephone | 9105810116 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
26NO09003500 | NJ | Nursing Service Providers |
| Street Address |
414 CREEDMOOR RD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151583 | Angela D Keenan | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-03-31 |
| 1114563301 | Jessica Cornelia | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-21 |
| 1720624406 | Kerry Mclaughlin | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-18 |
| 1023668605 | Amanda Lee Graham | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982484 | Elana Bornstein | Registered Nurse | Duke Unversity Hospital 2301 Erwin Drive, Durham, NC 27710-0001 | 2019-09-29 |
| 1750759320 | Heather Treec | Registered Nurse | 448 Mae Dr, Hampstead, NC 28443-8278 | 2015-09-12 |
| 1083830137 | Amanda F Johnson | Registered Nurse | 7990 Arco Corporate Dr Ste 110, Raleigh, NC 27617-2030 | 2007-04-17 |
| 1407921190 | Alice Brittain Brooks | Registered Nurse | 3311 Burnt Mill Rd, Willmington, NC 28403 | 2006-11-21 |
| 1710056262 | Lauri A Fish | Registered Nurse | 3311 Burnt Mill Drive, Wilmington Cdsa, Wilmington, NC 28403-2654 | 2006-11-07 |
| 1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
| 1235766601 | Shannon Laura Jackson | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-25 |
| 1790311975 | Amanda Cyr | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-19 |
| 1215442264 | Samantha Marie Casnettie | Registered Nurse | 1315 East Blvd Ste 280, Charlotte, NC 28203-5793 | 2017-12-12 |
| 1497268320 | Kelly Maines Squires | Registered Nurse | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2017-11-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on MRS. JUDITH ANN DAMSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.