Provider Demographics
NPI:1144764861
Name:HUDSON, JAZZLYN JACOLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JAZZLYN
Middle Name:JACOLE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JAZZLYN
Other - Middle Name:JACOLE
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3226 MAPLESIDE LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6691
Mailing Address - Country:US
Mailing Address - Phone:931-446-6104
Mailing Address - Fax:
Practice Address - Street 1:720 COOL SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2626
Practice Address - Country:US
Practice Address - Phone:615-570-2714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily