IndividualActive
Ellisa Hudson, APRN
NPI 1124962592 · Gerontology Nurse Practitioner · Choctaw, OK
Provider details
- NPI number
- 1124962592
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 228041 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
6301 Winslet Dr
Choctaw, OK 73020-5548
Phone: (405) 706-4565
Approximate (ZIP-level) locationGet directions
Mailing address
6301 Winslet Dr
Choctaw, OK 73020-5548
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.