Individual
MS. JENNIFER NICOLE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3732 NAMEOKI RD, GRANITE CITY, IL 62040
(314) 221-0793
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
041.416814
IL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
363L00000X
Nurse Practitioner
2020041195
MO
363L00000X
Nurse Practitioner
Primary
209017894
IL
363LF0000X
Family Nurse Practitioner
209.017894
IL
Other
Enumeration date
08/18/2014
Last updated
01/11/2021
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