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MEMORIAL CLINIC P.C.
NPI 1154353092
Nurse Practitioner - Family in Waverly, TN

Active since July 07, 2006
203 E COMMERCE ST, WAVERLY, TN 37185(931) 296-5833(931) 296-7388 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Clinic P.c. NPPES

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

MEMORIAL CLINIC P.C. (NPI 1154353092) is a healthcare organization registered as a family in Waverly, Tennessee and active in the NPI registry since July 2006. The organization lists Bonnie Sue Judd, Owner, as its authorized official.

NPPES Registry Identity

NPI1154353092
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEMORIAL CLINIC P.C.
Location Address203 E COMMERCE STWaverly, TN 37185-1629
Mailing Address203 E Commerce StWaverly, TN 37185-1629 · (931) 296-5833 · Fax (931) 296-7388
Phone(931) 296-5833
Fax(931) 296-7388
Organization SubpartNo
Authorized OfficialBonnie Sue JuddOwner · (931) 296-5833
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 16, 2015
✔ NPI 1154353092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
203 E COMMERCE ST, Waverly, TN 37185
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Other Identifiers 2

Medicaid36404232TN
Medicare PIN36404232TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BONNIE SUE JUDD APN
Nurse Practitioner (Family)
203 E COMMERCE ST
WAVERLY, TN 37185
Humphreys County (931) 296-5833

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 Memorial Clinic P.C.'s NPI number?

The NPI number for Memorial Clinic P.C. is 1154353092. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Memorial Clinic P.C. located?

Memorial Clinic P.C. is located at 203 E Commerce St, Waverly, TN 37185. The listed phone number is (931) 296-5833.

What is Memorial Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Memorial Clinic P.C. was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.