Most Relevant Information
Provider Data
| NPI Number: | 1003577248 |
| Provider Name: | JAYCIE STAUDINGER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704328269 |
Most Important Dates
| Enumeration Date: | 01/09/2022 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
331 W MAIN ST
HUDSON
MI
492471051
Practice Location Phone/Fax
| Phone: | 1754482371 |
| Fax: |
Provider Mailing Location
331 W MAIN ST
HUDSON
MI
492471051
Provider Mailing Phone/Fax
| Phone: | 5174031628 |
| Fax: |