Individual
JACLYN DIANE HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-BC
Contact information
Practice address
1249 15TH ST STE 2000, HUNTINGTON, WV 25701-3662
(304) 691-1000
Mailing address
1249 15TH ST, HUNTINGTON, WV 25701-3662
(304) 417-5422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114566
WV
363LF0000X
Family Nurse Practitioner
3018466
KY
Other
Enumeration date
10/28/2022
Last updated
03/16/2023
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