Individual
TAMMY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
28228910A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
209016048
IL
363LG0600X
Gerontology Nurse Practitioner
2024016204
MO
Other
Enumeration date
05/25/2016
Last updated
11/12/2025
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