Provider Demographics
NPI:1285809855
Name:HUDSON, RHONDA HAMPTON (MSN, RN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:HAMPTON
Last Name:HUDSON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:HAMPTON
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:2217 GLACIER PARK LN
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-1318
Mailing Address - Country:US
Mailing Address - Phone:214-755-2556
Mailing Address - Fax:214-755-2556
Practice Address - Street 1:2217 GLACIER PARK LN
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1318
Practice Address - Country:US
Practice Address - Phone:214-755-2556
Practice Address - Fax:817-385-3805
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606414163WC1500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health