MEDICARE: TAMI LYNN HUDSON RN

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	163W00000X	Registered Nurse	876116	MS

General Provider Information

NPI Number	:	1528915063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMI LYNN HUDSON RN

Provider Business Mailing Address
First Line	:	204 CAIN CEMETERY RD
Second Line	:
City	:	PERKINSTON
State	:	MS
Zip	:	39573-2880
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 BIENVILLE BLVD STE 210
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5705
Country	:	US
Telephone Number	:	228-818-4210
Fax Number	:	228-818-2551

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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