Provider Demographics
NPI:1376370171
Name:HUDSON, JANIE MARIE
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:MARIE
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 1:1429 CLEMENTE WAY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-8523
Mailing Address - Country:US
Mailing Address - Phone:615-200-2879
Mailing Address - Fax:
Practice Address - Street 1:5722 HICKORY PLZ STE C3
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8573
Practice Address - Country:US
Practice Address - Phone:615-431-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional