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: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family

About MEMORIAL CLINIC P.C.

This page provides the complete NPI Profile along with additional information for Memorial Clinic P.c., a provider established in Waverly, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1154353092 assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bonnie Sue Judd Apn (Owner)

NPI
1154353092 Verify this NPI
Provider Name
MEMORIAL CLINIC P.C.
Entity Type
Organization
Location Address
203 E COMMERCE ST WAVERLY, TN 37185
Location Phone
(931) 296-5833
Location Fax
(931) 296-7388
Mailing Address
203 E COMMERCE ST WAVERLY, TN 37185
Mailing Phone
(931) 296-5833
Mailing Fax
(931) 296-7388
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
04-16-2015
Code Navigator

A nurse practitioner (NP) like Memorial Clinic P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONNIE SUE JUDD APN

Authorized Official Title
OWNER
Authorized Official Phone
(931) 296-5833

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
36404232MEDICAID (05)TN 
36404232MEDICARE PIN (08)TN 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
203 E COMMERCE ST
WAVERLY, TN 37185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154353092, enumerated as an "organization" on July 07, 2006.

The provider is located at 203 E COMMERCE ST WAVERLY, TN 37185 and the phone number is (931) 296-5833.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.