Individual
SHELLY D HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
348 HACKBERRY LN, HARVIELL, MO 63945-7115
(573) 399-2669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016003074
MO
Other
Enumeration date
09/08/2006
Last updated
02/11/2016
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