Individual
MS. ASHLIE ALLYCE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12815 HIGHWAY 278, BEAVERTON, AL 35544-2954
(205) 606-1200
(205) 606-1202
Mailing address
12815 HIGHWAY 278, BEAVERTON, AL 35544-2954
(205) 606-1200
(205) 606-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-126124
AL
363LF0000X
Family Nurse Practitioner
Primary
1-126124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315394
—
AL
Enumeration date
01/11/2021
Last updated
01/05/2024
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