Tarynce Hudson, is a
Health & Wellness Coach physician based in Pine Bluff, Arkansas. Tarynce Hudson is licensed to practice in Arkansas (license number 1210681743) and his current practice location is 4216 W 28th St., Pine Bluff, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 653-3676.
NPI number for Tarynce Hudson is 1295463610 and his current mailing address is 7303 N Highway 79, Sherrill, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295463610.
Physician's Profile
| Full Name | Tarynce Hudson |
|---|
| Gender | Male |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 4216 W 28th St., Pine Bluff, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295463610
- Provider Enumeration Date: 08/12/2022
- Last Update Date: 08/12/2022
Medical Identifiers
Medical identifiers for Tarynce Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295463610 | NPI | - | NPPES |
| 236 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1210681743 (Arkansas) | Secondary |
| 2083S0010X | Preventive Medicine - Sports Medicine | 1210681743 (Arkansas) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 1210644080 (Arkansas) | Secondary |
| 171400000X | Health & Wellness Coach | 1210681743 (Arkansas) | 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. Tarynce 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 |
Tarynce Hudson, 7303 N Highway 79, Sherrill, AR 72152-8824 Ph: (870) 592-0049 | Tarynce Hudson, 4216 W 28th St., Pine Bluff, AR 71603 Ph: (501) 653-3676 |
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