1. Home
  2. Directory
  3. Arizona
  4. San Tan Valley
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER HUDSON NP
NPI 1821772476
Nurse Practitioner - Pediatrics in San Tan Valley, AZ

Active since June 14, 2023
36351 N GANTZEL RD STE 127-128, SAN TAN VALLEY, AZ 85140(480) 336-2815(602) 734-5509 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Hudson Np NPPES

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

JENNIFER HUDSON NP (NPI 1821772476) is an individual pediatrics provider in San Tan Valley, Arizona, licensed in Arizona (293349) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1821772476
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER HUDSONCredential: NP
Location Address36351 N GANTZEL RD STE 127-128San Tan Valley, AZ 85140-7329
Mailing Address25414 S 196th StQueen Creek, AZ 85142-8774 · (480) 452-5467
Phone(480) 336-2815
Fax(602) 734-5509
Sole ProprietorYes
Enumeration DateJune 14, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1821772476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · 293349
36351 N GANTZEL RD STE 127-128, San Tan Valley, AZ 85140
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANDREA ZANDER
Nurse Practitioner (Pediatrics)
36351 N GANTZEL RD STE 127-128
SAN TAN VALLEY, AZ 85140
Maricopa County (480) 336-2815

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 Jennifer Hudson's NPI number?

The NPI number for Jennifer Hudson is 1821772476. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Jennifer Hudson located?

Jennifer Hudson practices at 36351 N Gantzel Rd Ste 127-128, San Tan Valley, AZ 85140. The listed phone number is (480) 336-2815.

What is Jennifer Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jennifer Hudson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.