Individual
JACQUELYN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2101 POST RD, APARTMENT 211, FITCHBURG, WI 53713-3582
(651) 757-5392
Mailing address
2101 POST RD, APARTMENT 211, FITCHBURG, WI 53713-3582
(651) 757-5392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318174-31
WI
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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