| Ms Mary D Hudson, FNP-BC | |
| 
					400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901  | |
| (757) 622-7998 | |
| (757) 215-2729 | 
| Full Name | Ms Mary D Hudson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 400 Gresham Dr, Norfolk, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134261837 | NPI | - | NPPES | 
| C06209 | Other | VA | GROUP PTAN | 
| 15864 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APO3981 (Louisiana) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024171112 (Virginia) | Primary | 
| Entity Name | Pophealthcare, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164943957 PECOS PAC ID: 4880952977 Enrollment ID: O20171219001167  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Mary D Hudson, FNP-BC 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 Ph: (757) 622-7998  | Ms Mary D Hudson, FNP-BC 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 Ph: (757) 622-7998  | 
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241  | |
Tracy Lyn Martino,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441  | |
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610  | |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242  | |
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814  | |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196  | |
Mrs. Ursula Julianna Pretorius,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311  |