SHELLY D HUDSON - NPI 1821192048 - Nurse Practitioner in Poplar Bluff, MO

Q: What is Shelly Hudson's NPI number?

The NPI number for Shelly Hudson is 1821192048. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Q: What is Shelly Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Hudson was last updated on February 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shelly D Hudson NPPES

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

SHELLY D HUDSON (NPI 1821192048) is an individual family provider in Poplar Bluff, Missouri, licensed in Missouri (2016003074) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1821192048

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHELLY D HUDSON

Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318

Mailing Address348 Hackberry LnHarviell, MO 63945-7115 · (573) 399-2669

Phone(573) 686-4151

Sole ProprietorNo

Enumeration DateSeptember 8, 2006

Last NPPES UpdateFebruary 11, 2016

✔ NPI 1821192048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016003074

1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901

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Other Providers at the Same Location NPPES 20

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

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