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Individual

SHAMECA HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC,PMHNP-BC

Contact information

Practice address
717 E FORTIFICATION ST, JACKSON, MS 39202-2402
(769) 572-4009
(769) 572-4021
Mailing address
717 E FORTIFICATION ST, JACKSON, MS 39202-2402
(769) 572-4009
(769) 572-4021

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R883555
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R883555
MS

Other

Enumeration date
04/03/2015
Last updated
11/30/2023
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