Provider Demographics
NPI:1902181639
Name:HUDSPETH, JENNIFER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:HUDSPETH
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 S BOLLINGER CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-1623
Mailing Address - Country:US
Mailing Address - Phone:559-799-1607
Mailing Address - Fax:
Practice Address - Street 1:3838 SAN DIMAS ST STE B111
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1401
Practice Address - Country:US
Practice Address - Phone:661-616-1030
Practice Address - Fax:661-616-1050
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist