Individual
DR. KELLYE LADAWN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
117 FOREST CT, KNOXVILLE, TN 37919-5078
(865) 409-5695
Mailing address
117 FOREST CT, KNOXVILLE, TN 37919-5078
(865) 409-5695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0000000527
TN
163W00000X
Registered Nurse
RN0000162019
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000014218
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506809
—
TN
Enumeration date
12/13/2006
Last updated
12/01/2022
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