Individual
JESSICA SMITH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1407 UNION AVE, SUITE 200, MEMPHIS, TN 38104-3627
(901) 866-8813
(901) 302-2120
Mailing address
1407 UNION AVE, SUITE 640, MEMPHIS, TN 38104-3627
(901) 866-8360
(901) 302-2360
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0000014123
TN
Other
Enumeration date
01/19/2010
Last updated
03/17/2010
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