Provider Demographics
NPI:1457481889
Name:HUDSON, SHERRY M (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:M
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 FRENCH STORE RD
Mailing Address - Street 2:
Mailing Address - City:BIG SANDY
Mailing Address - State:TN
Mailing Address - Zip Code:38221-5211
Mailing Address - Country:US
Mailing Address - Phone:731-584-4338
Mailing Address - Fax:
Practice Address - Street 1:225 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-1619
Practice Address - Country:US
Practice Address - Phone:731-584-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000038244163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse