Individual
MS. ISABELLA CHILDRESS HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
108 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 755-5700
Mailing address
108 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 755-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-147068
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-147068
CRNP
AL
Enumeration date
02/14/2019
Last updated
06/28/2019
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