Provider Demographics
NPI:1730954298
Name:JONES-HUDSON, RENEA
Entity type:Individual
Prefix:
First Name:RENEA
Middle Name:
Last Name:JONES-HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WESTRIDGE PARKWAY
Mailing Address - Street 2:SUITE 714 PMB 1308
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253
Mailing Address - Country:US
Mailing Address - Phone:678-653-6695
Mailing Address - Fax:
Practice Address - Street 1:600 WESTRIDGE PARKWAY
Practice Address - Street 2:SUITE 714 PMB 1308
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253
Practice Address - Country:US
Practice Address - Phone:678-653-6695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach