Provider Demographics
NPI:1326916941
Name:HUDSON, YANIKKI NICOLE
Entity type:Individual
Prefix:
First Name:YANIKKI
Middle Name:NICOLE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 WALCOTT LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2417
Mailing Address - Country:US
Mailing Address - Phone:202-880-2383
Mailing Address - Fax:
Practice Address - Street 1:1106 COLUMBIA RD NW APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5352
Practice Address - Country:US
Practice Address - Phone:202-271-4846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty