Individual
MRS. HANNAH RENAYE HUDGINS-MONTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
515 W AQUARIUM PL STE 101, JENKS, OK 74037-6801
(918) 740-4463
(918) 739-1601
Mailing address
11225 S 73RD EAST AVE, BIXBY, OK 74008-2167
(918) 327-5894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96608
OK
363LF0000X
Family Nurse Practitioner
Primary
R0096608
OK
Other
Enumeration date
07/17/2020
Last updated
02/12/2026
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