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Contact Information

JENNIFER N HUDSON, NP
3732 NAMEOKI RD
GRANITE CITY, IL62040
 Phone: 314-221-0793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Electroneurodiagnostic

246ZE0600X
 

Family

363LF0000X 50 Nurse Practitioner
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER N HUDSON · (Female)

NPI # 1336548155
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/18/2014
Last updated 01/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.416814
  • IL License # 209.017894
  • IL License # 209017894
  • MO License # 2020041195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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