Individual
NICHOLAS WAYNE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
222 N FREDONIA ST STE 220, LONGVIEW, TX 75601-7222
(903) 215-3149
(903) 367-0300
Mailing address
222 N FREDONIA ST STE 220, LONGVIEW, TX 75601-7222
(903) 215-3149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1113190
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1113190
TX
363LA2100X
Acute Care Nurse Practitioner
223495
AR
Other
Enumeration date
03/01/2023
Last updated
06/11/2026
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