Individual provider · NPI-1
Carol Dudley, Evangelist
Driver · Murfreesboro, TN
NPI number1023838729
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1023838729
- Entity type
- Individual (NPI-1)
- Name
- Carol Dudley
- Credential
- Evangelist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
| 101YP1600X | Counselor, Pastoral | – | TN |
Practice location
131 Ruby Cate WayMurfreesboro, TN 37128-3196
Phone 615-554-4486
Mailing address
131 Ruby Cate WayMurfreesboro, TN 37128-3196
Phone 615-554-4486
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