MEDICARE: MS. SHARONSHAY HUDSON RN, FNP PMHNP-BC DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	80858	SC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3285403	NY
3	363LF0000X	Family Nurse Practitioner	334605	NY
4	163WA2000X	Administrator Registered Nurse	471567	NY

General Provider Information

NPI Number	:	1801149141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARONSHAY HUDSON RN, FNP PMHNP-BC DNP

Provider Business Mailing Address
First Line	:	3380 BAYCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1514
Country	:	US
Telephone Number	:	914-393-7947
Fax Number	:

Provider Business Practice Location Address
First Line	:	3380 BAYCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1514
Country	:	US
Telephone Number	:	914-393-7947
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2012
Last Update Date	:	06/21/2025

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