Individual
JONATHAN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209012662
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28221480A
IN
Other
Enumeration date
03/25/2015
Last updated
09/15/2025
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