1376854091 NPI number — MRS. JESSICA ROSE HUDSON NP

Table of content: (NPI 1376577353)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376854091 NPI number — MRS. JESSICA ROSE HUDSON NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUDSON
Provider First Name:
JESSICA
Provider Middle Name:
ROSE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376854091
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 BELLEVUE RD
Provider Second Line Business Mailing Address:
STE 21A
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31021-2890
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
478-328-0281
Provider Business Mailing Address Fax Number:
478-328-0438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 N JEFFERSON ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLEDGEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31061-3418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-453-8484
Provider Business Practice Location Address Fax Number:
478-452-0987
Provider Enumeration Date:
06/28/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LX0001X , with the licence number:  RN157685 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: RN157685 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)