MRS. JUDY LYNN FAJARDO (NPI# 1811548597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811548597 |
| Entity Type | Individual |
| Full Name | MRS. JUDY LYNN FAJARDO |
| Credential | AGCANP-BC, FNP-BC |
| Practice Address |
2728 Ga Highway 49 S Oglethorpe GA 31068-8129 |
| Mailing Address |
805 Ga Highway 118 E Smithville GA 31787-2805 |
| Practice Telephone | 4784723400 |
| Mailing Telephone | 2293470385 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN239574 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN239574 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2728 GA HIGHWAY 49 S |
| City | OGLETHORPE |
| State | GA |
| Zip Code | 31068-8129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438393 | Macon State Prison Regional Pharmacy | Pharmacy | 2728 Ga Highway 49 S, Oglethorpe, GA 31068-8129 | 2018-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952795098 | Rachel Mcswain | Nurse Practitioner | 300 Medical Ct, Olgethorpe, GA 31068 | 2015-03-26 |
| 1811165699 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Macon St North, Oglethorpe, GA 31068 | 2008-02-14 |
| 1962610451 | Chiquita Agatha Fye | Internal Medicine | 2728 Highway 49 South, Oglethorpe, GA 31068 | 2007-05-18 |
| 1356568398 | Brenda S Oglesby | Nurse Practitioner | 110 Chatham St, Oglethorpe, GA 31068 | 2007-04-19 |
| 1235224817 | Peter Sebastian Cimino IIi | Dentist | 297 Medical Ct., Oglethorpe, GA 31068 | 2006-10-03 |
| 1093811275 | Macon County Commissier of Roads & Revenues | Ambulance | 735 Ga Hwy 26 W., Oglethorpe, GA 31068 | 2006-09-15 |
| 1629173646 | Carl Felton Williams IIi | Dentist | 297 Medical Court, Oglethorpe, GA 31068 | 2006-09-14 |
| 1952317059 | Patti C Wright | Pharmacist | 298 Medical Ct, Oglethorpe, GA 31068 | 2006-07-31 |
| 1508870155 | Universal Pharm Inc | Pharmacy | 298 Medical Court, Oglethorpe, GA 31068 | 2006-07-28 |
| 1023045093 | Macon County Board of Health | Public Health or Welfare | 110 Chatham Street, Oglethorpe, GA 31068 | 2006-06-27 |
| Find all providers in zip 31068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356568398 | Brenda S Oglesby | Nurse Practitioner | 110 Chatham St, Oglethorpe, GA 31068 | 2007-04-19 |
| 1659749992 | Stephanie Burris | Nurse Practitioner | 300 Medical Court, Oglethorpe, GA 31068 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | OGLETHORPE |
| Zip Code | 31068 |
Please comment or provide details below to improve the information on MRS. JUDY LYNN FAJARDO.
| 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.