NPI 1821562901 · live from the CMS NPI Registry
Lauren Rae Hudson Bristol, NP
Nurse Practitioner, Pediatrics in Murfreesboro, TN. National Provider Identifier 1821562901, active.
NPI record
| NPI | 1821562901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1015 Hanson Ct Ste 101, Murfreesboro, TN 37129 |
| Practice phone | 615-203-0566 |
| Mailing address | 1420 Donelson Pike Ste B17, Nashville, TN 37217 |
| Enumerated | January 11, 2019 |
| Last updated | January 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 160411 (TN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 25113 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.