Dr Kellye Ladawn Hudson, DNP, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Knoxville, Tennessee. Dr Kellye Ladawn Hudson is licensed to practice in Tennessee (license number APN0000014218) and her current practice location is
117 Forest Ct, Knoxville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 409-5695.
NPI number for Dr Kellye Ladawn Hudson is 1164583829 and her current mailing address is 117 Forest Ct, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164583829.
Healthcare Provider's Profile
| Full Name | Dr Kellye Ladawn Hudson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 117 Forest Ct, Knoxville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164583829
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 12/01/2022
Medical Identifiers
Medical identifiers for Dr Kellye Ladawn Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164583829 | NPI | - | NPPES |
| 1506809 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 0000000527 (Tennessee) | Secondary |
| 163W00000X | Registered Nurse | RN0000162019 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN0000014218 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kellye Ladawn Hudson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kellye Ladawn Hudson, DNP, PMHNP-BC 117 Forest Ct, Knoxville, TN 37919-5078 Ph: (865) 409-5695 | Dr Kellye Ladawn Hudson, DNP, PMHNP-BC 117 Forest Ct, Knoxville, TN 37919-5078 Ph: (865) 409-5695 |
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