Individual
LISA JORDAN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
171 SOUTH ST, CALEDONIA, MS 39740-8587
(662) 855-0080
(662) 855-0082
Mailing address
2294 STEENS VERNON RD, STEENS, MS 39766-9508
(662) 251-1433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901828
MS
Other
Enumeration date
09/27/2017
Last updated
05/21/2018
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