Healthcare Provider Details

I. General information

NPI: 1801149141
Provider Name (Legal Business Name): SHARONSHAY HUDSON RN, FNP PMHNP-BC DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3380 BAYCHESTER AVE
BRONX NY
10475-1514
US

IV. Provider business mailing address

3380 BAYCHESTER AVE
BRONX NY
10475-1514
US

V. Phone/Fax

Practice location:
  • Phone: 914-393-7947
  • Fax:
Mailing address:
  • Phone: 914-393-7947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number80858
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3285403
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number334605
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number471567
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: