MS. JENNIFER NICOLE HUDSON NP - NPI 1336548155 - Nurse Practitioner in Granite City, IL

Q: What is Jennifer Hudson's NPI number?

The NPI number for Jennifer Hudson is 1336548155. It was assigned to this individual provider in the NPPES registry on August 18, 2014. The provider is also known as Jennifer Nicole White Np.

Q: What is Jennifer Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Hudson was last updated on January 11, 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.

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About Ms. Jennifer Nicole Hudson Np NPPES

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

MS. JENNIFER NICOLE HUDSON NP (NPI 1336548155) is an individual nurse practitioner in Granite City, Illinois, licensed in Illinois (209017894) and active in the NPI registry since August 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336548155

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JENNIFER NICOLE HUDSONCredential: NP

Location Address3732 NAMEOKI RDGranite City, IL 62040

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(314) 221-0793

Sole ProprietorNo

Enumeration DateAugust 18, 2014

Last NPPES UpdateJanuary 11, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1336548155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209017894✔ Licensed in MO · 2020041195

Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 041.416814 (IL)

Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.017894 (IL)

3732 NAMEOKI RD, Granite City, IL 62040

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Other Names 1

Former Name (1)Jennifer Nicole White Np

Secondary Practice Locations 2

Location 110 Emerald TerSwansea, IL 62226-2310 · Phone (618) 235-6780 · Fax (618) 235-6740

Location 21604 Visa Dr, Ste. 1Normal, IL 61761-2195 · Phone (309) 454-1100 · Fax (309) 454-1107

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE KING FNP-BC

Nurse Practitioner (Family)