Provider Demographics
NPI:1740210525
Name:HUDSON, JOHNNIE CHRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:JOHNNIE
Middle Name:CHRISTINE
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 1:3900 N 1ST ST
Mailing Address - Street 2:STE 10
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-6796
Mailing Address - Country:US
Mailing Address - Phone:325-675-0559
Mailing Address - Fax:
Practice Address - Street 1:3900 N 1ST ST STE 10
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-6716
Practice Address - Country:US
Practice Address - Phone:325-675-0559
Practice Address - Fax:325-675-0591
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010529163WH0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Not Answered251E00000XAgenciesHome Health