| Lisa Jordan Hudson, FNP-C | |
|
171 South St, Caledonia, MS 39740-8587 | |
| (662) 855-0080 | |
| (662) 855-0082 |
| Full Name | Lisa Jordan Hudson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 171 South St, Caledonia, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528577012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901828 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Eupora | Eupora, MS | Home health agency |
| Entity Name | Caledonia Community Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619552130 PECOS PAC ID: 8426466913 Enrollment ID: O20210422000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jordan Hudson, FNP-C 2294 Steens Vernon Rd, Steens, MS 39766-9508 Ph: (662) 251-1433 | Lisa Jordan Hudson, FNP-C 171 South St, Caledonia, MS 39740-8587 Ph: (662) 855-0080 |
Kathryn Comer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 171 South St, Caledonia, MS 39740 Phone: 662-855-0080 Fax: 662-855-0082 | |
John Andrew Troxler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 South St, Caledonia, MS 39740 Phone: 662-356-1560 | |
Sabrina Sondag, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 South Street, Caledonia, MS 39740 Phone: 662-356-1560 Fax: 662-356-1569 |