Provider Demographics
NPI:1740567791
Name:HUDSON, ALICE CHRISTINE (PMHNP)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:CHRISTINE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 COMMUNICATIONS PKWY
Mailing Address - Street 2:SUITE 601
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8157
Mailing Address - Country:US
Mailing Address - Phone:214-522-4640
Mailing Address - Fax:
Practice Address - Street 1:3600 COMMUNICATIONS PKWY
Practice Address - Street 2:SUITE 601
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8157
Practice Address - Country:US
Practice Address - Phone:214-522-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX684386363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health