Provider Demographics
NPI:1073031977
Name:JUDD, ASHLIE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:ASHLIE
Middle Name:MARIE
Last Name:JUDD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLIE
Other - Middle Name:MARIE
Other - Last Name:TUNE AND CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-9616
Mailing Address - Country:US
Mailing Address - Phone:270-789-6166
Mailing Address - Fax:270-789-6198
Practice Address - Street 1:125 GREENBRIAR DR
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-9616
Practice Address - Country:US
Practice Address - Phone:270-789-6166
Practice Address - Fax:270-789-6198
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011489363LG0600X, 363LF0000X, 363L00000X, 363LA2100X
KY1128563163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100483220Medicaid