MEDICARE: DAGNY REGINA HUDGINS

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1356206064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAGNY REGINA HUDGINS

Provider Business Mailing Address
First Line	:	319 BEAUREGARD HTS
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-1438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 JOHNSTON WILLIS DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4730
Country	:	US
Telephone Number	:	804-483-5000
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ DAGNY REGINA HUDGINS ” Practice Location

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