Provider Demographics
NPI:1285367672
Name:HUDSON, JOY A (DNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:A
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:A
Other - Last Name:METZGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5226
Mailing Address - Country:US
Mailing Address - Phone:941-900-4600
Mailing Address - Fax:
Practice Address - Street 1:714 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1235
Practice Address - Country:US
Practice Address - Phone:941-900-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily