IndividualActive
Judy Southern
NPI 1003118092 · Administrator Registered Nurse · Greensboro, NC
Provider details
- NPI number
- 1003118092
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 59604 (NC)
Specialties & taxonomies
Nursing Service Providers
Practice location
1100 E Wendover Ave
Greensboro, NC 27405-6713
Phone: (336) 641-3712
Fax: (336) 641-6603
Approximate (ZIP-level) locationGet directions
Mailing address
1100 E Wendover Ave
Greensboro, NC 27405-6713
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2010-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.