Individual provider · Type 1 NPI

Jennifer Nicole Hudson, NP

Nurse Practitioner · Granite City, IL

NPI number 1336548155 Active

Practice location

3732 Nameoki Rd
Granite City, IL 62040

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 10 Emerald Ter, Swansea, IL 62226-2310 · (618) 235-6780
  • 10 Emerald Ter, Swansea, IL 62226-2310 · (618) 235-6780
  • 1604 Visa Dr, Ste. 1, Normal, IL 61761-2195 · (309) 454-1100

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X041.416814 (IL)
Electroneurodiagnostic Specialist/Technologist 246ZE0600XNone listed
Nurse Practitioner 363L00000X2020041195 (MO)
Family Nurse Practitioner 363LF0000X209.017894 (IL)
Nurse Practitioner Primary 363L00000X209017894 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

12 other providers at this address

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About NPI 1336548155

Jennifer Nicole Hudson, NP's National Provider Identifier is 1336548155, issued on Aug 18, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Granite City, IL. The record was last updated on Jan 11, 2021.