Individual
JESSICA L HUDSPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
180 10TH ST SE STE 201, LE MARS, IA 51031-2557
(712) 546-4624
Mailing address
PO BOX 70, LE MARS, IA 51031-0070
(712) 546-4624
(712) 546-9395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G099558
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088088
—
IA
Enumeration date
02/26/2019
Last updated
10/19/2022
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