Individual
SAMANTHA D HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1051 N 16TH ST STE B, MURRAY, KY 42071-8511
(270) 753-6622
(270) 753-9669
Mailing address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 443-9692
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100215650
—
KY
Enumeration date
08/01/2012
Last updated
09/23/2021
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