Individual
ELLISA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6301 WINSLET DR, CHOCTAW, OK 73020-5548
(405) 706-4565
Mailing address
6301 WINSLET DR, CHOCTAW, OK 73020-5548
(405) 706-4565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0088137
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
228041
OK
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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