Provider Demographics
NPI:1194584177
Name:HUDSON-WILLIAMSON, SARAH MARY (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARY
Last Name:HUDSON-WILLIAMSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 ORIOLE DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5487
Mailing Address - Country:US
Mailing Address - Phone:270-317-6030
Mailing Address - Fax:
Practice Address - Street 1:2406 RING RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-7940
Practice Address - Country:US
Practice Address - Phone:270-979-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4014989363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care