Genevieve Simone Hudgins, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fargo, ND
NPI 1457069908 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1457069908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R39845 (ND)
- Practice address
- 1122 1St Ave N
Fargo, ND 58102-4604 - Phone
- (856) 673-8252
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots of Wellness, PLLC. | Single Specialty | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | R39845 | ND | Yes |
Addresses
Primary practice location
1122 1St Ave N
Fargo, ND 58102-4604
Mailing address
1122 1St Ave N
Fargo, ND 58102-4604
Phone (856) 673-8252
Other providers in Fargo, ND
- Jason P Huber
- Matthew Huber
- Olivia Huber
- Beret Huck
- Viviane Huderle
- Tracy Huebner
- Marissa Huebsch
- Miranda Faye Huesman
- Judy Ann Huether
- Amanda Jane Hunt Huewe
All providers in Fargo, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.