Healthcare Provider Details

I. General information

NPI: 1740899632
Provider Name (Legal Business Name): DANNE JO HUDSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 N IRON BRIDGE WAY
SPOKANE WA
99202-4926
US

IV. Provider business mailing address

731 N IRON BRIDGE WAY
SPOKANE WA
99202-4926
US

V. Phone/Fax

Practice location:
  • Phone: 509-671-1979
  • Fax:
Mailing address:
  • Phone: 509-671-1979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61089232
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: