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NPI Code Detail

MEDICARE: JEREMY HUDSON RN

MEDICARE: JEREMY 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
1163WC0400XCase Management Registered Nurse839595TX

General Provider Information

NPI Number : 1851236111
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY HUDSON RN
Provider Business Mailing Address
First Line : 10864 TEXAS HEALTH TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4897
Country : US
Telephone Number : 682-212-2000
Fax Number :
Provider Business Practice Location Address
First Line : 10864 TEXAS HEALTH TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4897
Country : US
Telephone Number : 682-212-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 05/29/2026

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