Provider Demographics
NPI:1902892250
Name:HUDSON, JOY M (MD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:M
Last Name:HUDSON
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:4189 WESTLAWN ST
Mailing Address - Street 2:UNIVERSITY OF IOWA STUDENT HEALTH SERVICES
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1100
Mailing Address - Country:US
Mailing Address - Phone:319-335-8370
Mailing Address - Fax:319-335-7247
Practice Address - Street 1:4189 WESTLAWN ST
Practice Address - Street 2:UNIVERSITY OF IOWA STUDENT HEALTH SERVICES
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1100
Practice Address - Country:US
Practice Address - Phone:319-335-8370
Practice Address - Fax:319-335-7247
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA271032084P0800X
ARC 68402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA27922OtherWELLMARK BCBS
IA27922Medicare PIN
E04899Medicare UPIN