DR. JENNIFER LYNN HUDSON (NPI# 1265627319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265627319 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN HUDSON |
| Credential | D.O. |
| Practice Address |
90 Hope Dr 366 Medical Group, Women's Health Mountain Home A F B ID 83648-1057 |
| Practice Telephone | 2082827567 |
| Mailing Telephone | 2082827567 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0102202319 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 58-002420 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238602 | Jennifer Renee Hudson | Social Worker | 551 Linn St Ste 230, Allegan, MI 49010-1591 | 2020-09-02 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1326471228 | Jennifer Hudson | Day Training/Habilitation Specialist | 4 Minentonka Dr, Cherokee Village, AR 72529-2609 | 2013-08-14 |
| 1003007691 | Jennifer Debora Hudson | Counselor | 1906 82nd Ave Ne, Lake Stevens, WA 98258 | 2007-08-07 |
| 1265082465 | Jennifer Hudson | Nurse Practitioner | 321 Richland West Cir, Waco, TX 76712-7919 | 2019-09-19 |
| 1366989188 | Jennifer Hudson | Registered Nurse | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-01-31 |
| 1598219115 | Jennifer Hudson | Acupuncturist | 915 Ne 2nd St, Gresham, OR 97030-7512 | 2016-08-11 |
| 1538557764 | Jennifer Hudson | Specialist/Technologist | 2301 E Douglas Ave, Wichita, KS 67211-1613 | 2014-12-22 |
| 1043648975 | Jennifer Hudson | Occupational Therapist | 4104 Lambeth Dr, Raleigh, NC 27609-5800 | 2013-11-01 |
| 1881026458 | Jennifer A Hudson | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2013-08-06 |
| Street Address |
90 HOPE DR 366 MEDICAL GROUP, WOMEN'S HEALTH |
| City | MOUNTAIN HOME A F B |
| State | ID |
| Zip Code | 83648-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676239 | Mary Dolores Dvorak | Internal Medicine | 90 Hope Dr, 366 Mdg/sgh, Mountain Home A F B, ID 83648-1057 | 2005-08-19 |
| 1811270697 | Travis Wade Cronin | Social Worker | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2011-09-27 |
| 1669765871 | April Denise Paciotti | Military Health Care Provider | 90 Hope Dr, Bld 6000, Mountain Home A F B, ID 83648-1057 | 2011-05-20 |
| 1467773903 | Amy Jo Hicks | Social Worker | 90 Hope Dr, Bldg. 6000, Mountain Home A F B, ID 83648-1057 | 2010-06-18 |
| 1801948484 | Spencer C Wirig | Dentist | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2007-01-17 |
| 1679654149 | Darrell Zaugg | Family Medicine | 90 Hope Dr, Bldg 6000, Mountain Home A F B, ID 83648-1057 | 2006-10-18 |
| 1780648485 | David Albert Wood | Family Medicine | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2006-04-12 |
| 1346229432 | Yvette L. Ward | Psychologist | 90 Hope Dr, Bldg #6000, Mountain Home A F B, ID 83648-1057 | 2006-01-17 |
| 1598747701 | Bonnie Lea Mack | Nurse Anesthetist, Certified Registered | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2005-11-15 |
| 1831185081 | Mikel W Phillips | Registered Nurse | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528392 | Amy Jo Glover | Military Health Care Provider | 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 | 2009-06-11 |
| 1306051065 | Thomas Michael Smith | Social Worker | 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 | 2007-05-14 |
| 1316005143 | Ronald Wesley Bailey | Radiology | Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 | 2006-12-05 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1356325666 | Joseph Carroll Skinner Jr. | Nurse Anesthetist, Certified Registered | 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 | 2005-11-30 |
| 1023007846 | Craig Loyd Folsom | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2005-10-14 |
| 1477547271 | Ron Stumbo | Pharmacist | Mountain Home Afb, Mountain Home Afb, ID 83648 | 2005-09-07 |
| 1154315943 | Georgette Ann Trezvant | Social Worker | 366 Medical Operations Squadron, 90 Hope Drive, Bldg 6000, Mt. Home Air Force Base, ID 83648 | 2005-09-07 |
| 1164893202 | Craig Jensen | Optometrist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2015-10-15 |
| 1730582438 | Kyle Christensen | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2014-10-08 |
| Find all providers in zip 83648 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609222355 | Brennan Anderson | Obstetrics & Gynecology | 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 | 2016-05-12 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1902179914 | Gary Gregerson Md Pa | Obstetrics & Gynecology | 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 | 2012-02-22 |
| 1073809729 | Morgan Ann Morton | Obstetrics & Gynecology | 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 | 2011-06-21 |
| 1972827582 | Carissa M Richardson | Obstetrics & Gynecology | 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 | 2010-03-25 |
| 1891932422 | Ihc Health Services Inc | Obstetrics & Gynecology | 1408 Pomerelle, Suite H, Burley, ID 83318-2682 | 2009-01-20 |
| 1457508947 | Gerald Elbert Mortimer | Obstetrics & Gynecology | 2095 Heather Ln, Ammon, ID 83406-6705 | 2008-08-26 |
| 1396914917 | Jason Oneal Parkinson | Obstetrics & Gynecology | 1408 Pomerelle Ave, Suite H, Burley, ID 83318-2067 | 2008-02-28 |
| 1811185184 | Teton Women's Health Center | Obstetrics & Gynecology | 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 | 2007-10-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME A F B |
| Zip Code | 83648 |
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| 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.