Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDY GOURLEY
Active Sole ProprietorJUDY GOURLEY is a Registered Dietitian healthcare provider located in SOUTH BOSTON, Virginia. NPI 1740686047 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1740686047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2014 (11.726939220648 yrs)
- Last Updated
- Nov 17, 2014
- Licenses
-
613615 (VA)LOOO602 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2204 WILBORN AVESOUTH BOSTON, VA, 245921645Browse VA providers · Browse ZIP 24592
- Phone
- 4345173579
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in SOUTH BOSTON, VA
| Name | Credential | NPI |
|---|---|---|
| LISA CAUDLE | RD | 1184714164 |
| MARA OLIVIA FIORIO | RDN | 1265950646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.