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Individual

ANGELA P HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5477
TN
363L00000X
Nurse Practitioner
81-0138
MS
363L00000X
Nurse Practitioner
A01891
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03029558
MS
05
155011758
AR
05
3928888
TN
01
4089856
BCBS TN
TN
01
99653
BCBS AR
AR
Enumeration date
07/19/2006
Last updated
02/24/2011
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