Individual
JANA MARIA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 579-5463
(601) 268-5759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902154
MS
363LF0000X
Family Nurse Practitioner
Primary
902154
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05135841
—
MS
Enumeration date
07/06/2017
Last updated
01/08/2021
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