Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 20280 | TN |
NPI | 1003283201 |
---|---|
Provider Name | Anne Harvey Hudson |
First Address | Gallatin, TN 37066-3025 |
Second Address | Gallatin, TN 37066-3025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2015 |
Last Update Date | 06/04/2016 |