Individual
MRS. FANNIE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CASE MANAGER
Contact information
Practice address
1376 TURNBULL BAY RD, SUITE 403, NEW SMYRNA BEACH, FL 32168-6076
(386) 290-2216
(386) 427-6270
Mailing address
1376 TURNBULL BAY RD, SUITE 403, NEW SMYRNA BEACH, FL 32168-6076
(386) 290-2216
(386) 427-6270
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011833700
—
FL
Enumeration date
09/02/2015
Last updated
02/12/2026
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