Provider Demographics
NPI:1528335692
Name:SHULMAN, JUDITH KENNEDY (CD(DONA))
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:KENNEDY
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9093
Mailing Address - Country:US
Mailing Address - Phone:336-643-0047
Mailing Address - Fax:
Practice Address - Street 1:2804 PLEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9093
Practice Address - Country:US
Practice Address - Phone:336-643-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula