Search › Illinois › 363L00000X
Jennifer Hudson, NP
NPI 1336548155 · on the registry since 2014
Practice
- Address
- 3732 Nameoki Rd
Granite City, IL 62040 - Phone
- (314) 221-0793
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 10 Emerald Ter, Swansea, IL
- 10 Emerald Ter, Swansea, IL
- 1604 Visa Dr, Normal, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 164W00000X
246ZE0600X
363L00000X
363LF0000X - Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois