Individual
JASMINE A HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
63033
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
63033
WI
Other
Enumeration date
04/19/2013
Last updated
07/21/2022
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