Individual provider · Type 1 NPI

Andrea Corrine-Jacklyn Hudson, ATC, LAT

Physician Assistant · Temple, TX

NPI number 1942965926 Active

Practice location

2401 S 31st St
Temple, TX 76508-9603

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT8127 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA15474 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942965926

Andrea Corrine-Jacklyn Hudson, ATC, LAT's National Provider Identifier is 1942965926, issued on Nov 3, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Temple, TX. The record was last updated on Mar 31, 2022.