Individual provider · Type 1 NPI

Jennifer Hudson, NP

Pediatric Nurse Practitioner · San Tan Valley, AZ

NPI number 1821772476 Active

Practice location

36351 N Gantzel Rd Ste 127-128
San Tan Valley, AZ 85140-7329

Fax (602) 734-5509

Mailing address

25414 S 196th St
Queen Creek, AZ 85142-8774

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X293349 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821772476

Jennifer Hudson, NP's National Provider Identifier is 1821772476, issued on Jun 14, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jun 14, 2023.