Individual
BROOKE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 BAILEY LN, BENTON, IL 62812-1999
(618) 435-9692
(618) 435-9327
Mailing address
201 BAILEY LN, BENTON, IL 62812-1999
(618) 435-9692
(618) 435-9327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020202
IL
363LF0000X
Family Nurse Practitioner
Primary
209020202
IL
Other
Enumeration date
10/10/2019
Last updated
06/04/2021
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