Individual
LATISHA MONIQUE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APN PMHNP
Contact information
Practice address
117 RUTGERS ST APT 13, BELLEVILLE, NJ 07109-2579
(973) 832-5097
Mailing address
117 RUTGERS ST APT 13, BELLEVILLE, NJ 07109-2579
(973) 832-5097
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00985800
NJ
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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