MS. JESSICA FUDGE RN
NPI 1144814864
Registered Nurse - Pediatrics in Zachary, LA

Active since February 23, 2021
9440 MAIN ST, ZACHARY, LA 70791(225) 603-7262 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jessica Fudge Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JESSICA FUDGE RN (NPI 1144814864) is an individual pediatrics provider in Zachary, Louisiana, licensed in Louisiana (RN162126) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1144814864
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameMS. JESSICA FUDGECredential: RN
Location Address9440 MAIN STZachary, LA 70791-7440
Mailing Address2585 Brightside DrBaton Rouge, LA 70820-3504 · (225) 603-7262
Sole ProprietorNo
Enumeration DateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1144814864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License Licensed in LA · RN162126
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License RN162126 (LA)
9440 MAIN ST, Zachary, LA 70791

Other Names 1

Professional Name (2)Jessica Fudge Bsn, Rn

Other Identifiers 1

Medicaid1376014100LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fudge's NPI number?

The NPI number for Jessica Fudge is 1144814864. It was assigned to this individual provider in the NPPES registry on February 23, 2021. The provider is also known as Jessica Fudge Bsn, Rn.

Where is Jessica Fudge located?

Jessica Fudge practices at 9440 Main St, Zachary, LA 70791. The listed phone number is (225) 603-7262.

What is Jessica Fudge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Jessica Fudge was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.