Individual provider · Type 1 NPI

Ellisa Hudson, APRN

Gerontology Nurse Practitioner · Choctaw, OK

NPI number 1124962592 Active

Practice location

6301 Winslet Dr
Choctaw, OK 73020-5548

Call (405) 706-4565 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X228041 (OK)
Registered Nurse 163W00000XR0088137 (OK)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1124962592

Ellisa Hudson, APRN's National Provider Identifier is 1124962592, issued on Apr 16, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Choctaw, OK. The record was last updated on Apr 16, 2026.