Provider Demographics
NPI:1134891013
Name:HUDON, JENNY SUZANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:SUZANNE
Last Name:HUDON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:SUZANNE
Other - Last Name:SINGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:49 PLAISTOW RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-2854
Practice Address - Country:US
Practice Address - Phone:603-371-3229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2324555163WP0200X, 363LF0000X
NH090390-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics