Jacqueline Coleen Hudson, PA-C, MHS, BSN

NPI #1538142682 in Edmond, Oklahoma

Provider Information

NPI Number: 1538142682
Entity Type: Individual
Name: Jacqueline Coleen Hudson, PA-C, MHS, BSN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MHS, BSN
Enumeration Date: Nov 22, 2005
Last Updated: May 29, 2024

Practice Location

Address: 1101 NW 178TH ST STE B
City: Edmond
State: Oklahoma
ZIP Code: 73012-4281
Phone: (054) 285-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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