Individual provider · Type 1 NPI

John David Hudson Iii

Student in an Organized Health Care Education/Training Program · Chantilly, VA

NPI number 1114744679 Active

Practice location

4213 Walney Rd
Chantilly, VA 20151-2923

Mailing address

10257 Braddock Rd
Fairfax, VA 22032-1909

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114744679

John David Hudson Iii's National Provider Identifier is 1114744679, issued on Sep 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chantilly, VA. The record was last updated on Sep 11, 2025.