Provider Demographics
NPI:1053660316
Name:HUDGIN, JENNIFER C (APRN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:HUDGIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST STE 480W
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2403
Mailing Address - Country:US
Mailing Address - Phone:270-762-1321
Mailing Address - Fax:270-762-1783
Practice Address - Street 1:300 S 8TH ST STE 284W
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2452
Practice Address - Country:US
Practice Address - Phone:270-761-5756
Practice Address - Fax:270-752-2856
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16953363LF0000X
KY3009632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily