Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER LYNN HUDSON, D.O.
Active Sole ProprietorDR. JENNIFER LYNN HUDSON, D.O. is a Obstetrics & Gynecology healthcare provider located in MOUNTAIN HOME A F B, Idaho. NPI 1265627319 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · MOUNTAIN HOME A F B, ID
Registration Details
- NPI Number
- 1265627319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2007 (18.904128240826 yrs)
- Last Updated
- Jul 27, 2011
- Licenses
-
58-002420 (OH)0102202319 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 HOPE DR366 MEDICAL GROUP, WOMEN'S HEALTHMOUNTAIN HOME A F B, ID, 836481057Browse ID providers · Browse ZIP 83648
- Phone
- 2082827567
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.