JACQUELINE SUSAN HUDSON


Address: 7300 Sandlake Commons Blvd Ste 221, Orlando, FL 32819-8011
Phone: 4072843552

JACQUELINE SUSAN HUDSON (NPI# 1114074978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114074978
Entity Type Individual
Full Name JACQUELINE SUSAN HUDSON
Credential ARNP
Practice Address 7300 Sandlake Commons Blvd Ste 221
Orlando
FL 32819-8011
Practice Telephone 4072843552
Practice Fax Number 4072843553
Mailing Telephone 4072843552
Mailing Fax Number 4072843553
Enumeration Date 2007-01-04
Last Update Date 2019-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9173487 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL RAILROAD MEDICARE P01202534 01
FL BC/BS PROVIDER# Y03U7 01
FL LICENSE NUMBER ARNP9173487 01
FL 004505100 05

Other Providers JACQUELINE HUDSON

NPI Name Taxonomy Address Enumeration
1194104984 Jacqueline Bennett Hudson Physician Assistant 7118 Main St, Wade, NC 28395-9749 2015-05-26
1013217967 Jacqueline Davis Hudson Registered Nurse 516 Nizhoni Blvd, Gallup, NM 87301-5748 2010-10-26

Office Location

Street Address 7300 SANDLAKE COMMONS BLVD STE 221
City ORLANDO
State FL
Zip Code 32819-8011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861046211 Sand Lake Internal Medicine, LLC Internal Medicine 7300 Sandlake Commons Blvd Ste 221, Orlando, FL 32819-8011 2019-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093356842 Crew Community Health, Inc Internal Medicine 8601 Commodity Circle, Orlando, FL 32819 2019-10-03
1437704756 Byron Martin Randolph Physical Therapist 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 2019-08-04
1225536303 Alliance Dme LLC Durable Medical Equipment & Medical Supplies 7031 Grand National Dr Ste 106b, Orlando, FL 32819 2018-01-24
1417465584 Marckenson Gerson Janvier Nurse Practitioner 9401 Turkey Lake Rd, Orlando, FL 32819 2018-01-11
1871003442 Sabeen Hasni Pharmacist 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 2017-10-09
1902343775 Darleen Walker Occupational Therapist 7243 Della Dr., Orlando, FL 32819 2017-01-31
1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
1659749752 Angels for Kids On-call Case Management 7550 Future Drive Suite 105, Orlando, FL 32819 2015-09-04
1932589462 Krista Jean Cain Counselor 7758 Wallace Rd Ste Vi, Orlando, FL 32819 2015-05-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033005 Lourdes Milagros Rivera Nurse Practitioner 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 2020-11-06
1962019232 Gerda Dorce Nurse Practitioner 5045 Catspaw Ct, Orlando, FL 32808-5961 2020-09-30
1073120093 Kailey Wickens Nurse Practitioner 10139 Rivers Trail Dr, Orlando, FL 32817-2884 2020-09-24
1528672284 Paulette Fernandez Nurse Practitioner 9208 Larette Dr, Orlando, FL 32817-2618 2020-09-01
1225641798 Jennifer Marie Fleitas Nurse Practitioner 1501 Balsam Willow Trl, Orlando, FL 32825-4469 2020-08-25
1730792201 Winnie Tsang-wu Nurse Practitioner 11419 Chateaubriand Ave, Orlando, FL 32836-8890 2020-08-25
1851902548 April Michelle Edwards Nurse Practitioner 2630 Babbitt Ave, Orlando, FL 32833-4023 2020-08-14
1417567454 Maureen Williams Nurse Practitioner 2126 Great Falls Way, Orlando, FL 32824-4302 2020-08-04
1134747470 Edelio Valentin De Zayas Nurse Practitioner 7763 Segovia St, Orlando, FL 32822-8036 2020-07-13
1811515141 Yuliet Castillo Nurse Practitioner 10814 Flycast Cir, Orlando, FL 32825-4878 2020-07-13
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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