Individual
CODY DAVID HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3800 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5272
(000) 000-0000
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024005873
MO
Other
Enumeration date
02/16/2024
Last updated
03/29/2024
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