# DR. KELLYE LADAWN HUDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164583829
- **Gender:** F
- **Credential:** DNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0000000527 | TN | — |
| 163W00000X | Registered Nurse | RN0000162019 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000014218 | TN | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 12/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1506809 | — | TN |