Individual
JENNIFER HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36351 N GANTZEL RD STE 127-128, SAN TAN VALLEY, AZ 85140-7329
(480) 336-2815
(602) 734-5509
Mailing address
25414 S 196TH ST, QUEEN CREEK, AZ 85142-8774
(480) 452-5467
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
293349
AZ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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