Individual
JONATHAN RYAN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 AULT RD STE B, SIGNAL MOUNTAIN, TN 37377-3126
(423) 822-8432
Mailing address
PO BOX 93, SIGNAL MOUNTAIN, TN 37377-0093
(423) 521-5404
(706) 406-2922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000027716
TN
363LF0000X
Family Nurse Practitioner
RN242148
GA
Other
Enumeration date
10/19/2020
Last updated
10/21/2020
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