JUDY SOUTHERN
NPI 1003118092
Registered Nurse - Administrator in Greensboro, NC

Active since November 23, 2010
1100 E WENDOVER AVE, GREENSBORO, NC 27405(336) 641-3712(336) 641-6603 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Judy Southern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY SOUTHERN (NPI 1003118092) is an individual administrator provider in Greensboro, North Carolina, licensed in North Carolina (59604) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1003118092
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameJUDY SOUTHERN
Location Address1100 E WENDOVER AVEGreensboro, NC 27405-6713
Mailing Address1100 E Wendover AveGreensboro, NC 27405-6713
Fax(336) 641-6603
Sole ProprietorYes
Enumeration DateNovember 23, 2010
NPI 1003118092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License Licensed in NC · 59604
1100 E WENDOVER AVE, Greensboro, NC 27405

Other Identifiers 1

Medicaid1245272657NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Interpreter
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Dietitian, Registered
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Registered Nurse
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Registered Nurse (Community Health)
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Social Worker (Clinical)
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Registered Nurse
1100 E WENDOVER AVE
GREENSBORO, NC 27405
Registered Nurse (General Practice)
1100 E WENDOVER AVE
GREENSBORO, NC 27405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Southern's NPI number?

The NPI number for Judy Southern is 1003118092. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Judy Southern located?

Judy Southern practices at 1100 E Wendover Ave, Greensboro, NC 27405. The listed phone number is (336) 641-3712.

What is Judy Southern's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Judy Southern was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.