Healthcare Provider Details

I. General information

NPI: 1972738359
Provider Name (Legal Business Name): ROBIN L HUDSON DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 E STATE ROAD 62 STE 2A
MADISON IN
47250-7328
US

IV. Provider business mailing address

2014 N 7TH ST
TERRE HAUTE IN
47804-2714
US

V. Phone/Fax

Practice location:
  • Phone: 812-801-0848
  • Fax: 812-801-0773
Mailing address:
  • Phone: 217-419-6461
  • Fax: 217-351-9139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004400A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209007604
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: