IndividualActive
Judith Dedeker, RN
NPI 1740545151 · Emergency Registered Nurse · Cleveland, TN
Provider details
- NPI number
- 1740545151
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 71050 (TN)
Practice location
2650 Executive Park Nw
Suite 5
Cleveland, TN 37312-2746
Phone: (423) 479-9679
Fax: (423) 559-9046
Mailing address
2650 Executive Park Nw
Cleveland, TN 37312-2746
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.