Individual
SHUREKKIA SHANTRICE HUDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1411 N BECKLEY AVE STE 268, PAVILION III, DALLAS, TX 75203
(214) 947-4400
(214) 947-4404
Mailing address
1411 N BECKLEY AVE STE 268, PAVILION III, DALLAS, TX 75203
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1056012
TX
163WC0200X
Critical Care Medicine Registered Nurse
838264
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1056012
TX
Other
Enumeration date
09/03/2020
Last updated
01/13/2022
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