Hudak, Jacqueline Antoinette
Hudak, Jacqueline Antoinette is an sole proprietor health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hudak, Jacqueline Antoinette can be contacted via phone (864) 885-7758.Contact Information
Primary practice address
298 Memorial Dr
Seneca SC 29672-9443
Phone: (864) 885-7758
Fax: (864) 885-7749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19302 | South Carolina |
Profile Details
| NPI number | 1104216233 |
|---|---|
| LBN Legal business name | Hudak, Jacqueline Antoinette |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2015 |
| Last updated | Jun 30th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104216233 | NPPES |
| South Carolina | MEDICAID | NP3182 |
Popular Providers
-
Leonard, Carolyn Schmutz
301 Memorial Dr , Seneca SC 29672-9491 -
Melton, Jessica Taylor
10630 Clemson Blvd Ste 100 , Seneca SC 29678-4545 -
Safrit, Amy
109 Carter Park Dr , Seneca SC 29678-1152 -
Chandran, Alysha Kaye
125 Professional Park Dr , Seneca SC 29678-2558 -
Schultz, Jody Lyn
298 Memorial Dr , Seneca SC 29672-9443 -
Glymph, Jessica Taylor
12016 N Radio Station Rd , Seneca SC 29678-1143 -
Collins-Smith, Shana M
12016 N Radio Station Rd , Seneca SC 29678-1143 -
Patel, Krishna Manhar
10110 Clemson Blvd , Seneca SC 29678-0812