Hudson, Jennifer Nicole

Hudson, Jennifer Nicole is an individual health care provider with primary practice located at 3732 Nameoki Rd , Granite City IL 62040. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hudson, Jennifer Nicole can be contacted via phone (314) 221-0793.

Contact Information

Primary practice address
3732 Nameoki Rd Granite City IL 62040
Phone: (314) 221-0793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 041.416814 Illinois
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2020041195 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.017894 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017894 Illinois

Profile Details

NPI number 1336548155
LBN Legal business name Hudson, Jennifer Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Jan 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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