Individual
JILLIAN KING HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 216-5633
Mailing address
133 BALLARD HILL RD, EASLEY, SC 29642-9151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29946
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
11/13/2024
Last updated
02/27/2025
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