Provider Demographics
NPI:1962477851
Name:HUDGINS, PATRICIA FLATT (APRN,BC,FNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:FLATT
Last Name:HUDGINS
Suffix:
Gender:F
Credentials:APRN,BC,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908N LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-2334
Mailing Address - Country:US
Mailing Address - Phone:931-244-7600
Mailing Address - Fax:931-244-7601
Practice Address - Street 1:1908N LOCUST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-2334
Practice Address - Country:US
Practice Address - Phone:931-244-7600
Practice Address - Fax:931-244-7601
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN42135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3729164Medicaid
TN3345809Medicare ID - Type Unspecified
TNS56344Medicare UPIN