Jacqueline Coleen Hudson, PA-C, MHS, BSN Valid NPI
Individual provider · Physician Assistant · Edmond, OK
- NPI
- 1538142682
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 2145 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-11-22
- Last updated
- 2024-05-29
Practice location
1101 Nw 178th St Ste B
Edmond, OK 73012-4281
(054) 285-2161