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JUDY L JEROME CGNP
NPI 1760433577
Nurse Practitioner - Gerontology in Gaylord, MI

Active since May 15, 2006
829 N CENTER AVE, SUITE 140, GAYLORD, MI 49735(989) 731-7870(989) 731-7837 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 16, 2017 (2 updates tracked since 2017).

About Judy L Jerome Cgnp NPPES

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

JUDY L JEROME CGNP (NPI 1760433577) is an individual gerontology provider in Gaylord, Michigan, licensed in Michigan (4704120506) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1760433577
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJUDY L JEROMECredential: CGNP
Location Address829 N CENTER AVE, SUITE 140Gaylord, MI 49735-1595
Mailing Address310 N. Main Street, Suite 301Chelsea, MI 48118-1807 · (734) 222-8200 · Fax (734) 222-8202
Phone(989) 731-7870
Fax(989) 731-7837
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1760433577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704120506
829 N CENTER AVE, Gaylord, MI 49735
Open in Google Maps ↗

Other Identifiers 3

Medicaid4874937MI
Other381303843Tax Id
Other4704120506MI · Michigan State License

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.

DR. JOHN DAVID MOFFAT M.D.
Surgery
829 N CENTER AVE, SUITE 120
GAYLORD, MI 49735
Otsego County (989) 731-7987
STEVEN JOHN WISNIEWSKI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
DR. CHANGXIN LI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
829 N CENTER AVE
GAYLORD, MI 49735
Otsego County (989) 731-7708
KATHLEEN MARIE PAWLANTA F.N.P.
Nurse Practitioner (Family)
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
JOHN MATTHEW LAWRENCE
Physician Assistant
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
GAYLORD OBSTETRICS & GYNECOLOGY. P.C.
Obstetrics & Gynecology
829 N CENTER AVE, SUITE 200
GAYLORD, MI 49735
Otsego County (989) 731-2105
MATTHEW A MAZUR D.O.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870

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 Jerome's NPI number?

The NPI number for Judy Jerome is 1760433577. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Judy Jerome located?

Judy Jerome practices at 829 N Center Ave Suite 140, Gaylord, MI 49735. The listed phone number is (989) 731-7870.

What is Judy Jerome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Judy Jerome was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.