BETH GABRIELLE DUDLEY PMHNP NPI 1871188235

NPI Information

  • NPI: 1871188235
  • Provider Name: BETH GABRIELLE DUDLEY, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4753 NORTH BROADWAY ST
    CHICAGO, IL
    ZIP 60640
  • Phone: (888) 279-0002

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NPI Details

Beth Gabrielle Dudley, PMHNP is a psychiatric/mental health nurse practitioner in Chicago, IL. Beth Gabrielle Dudley, PMHNP NPI is 1871188235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4753 NORTH BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (888) 279-0002
Fax: (866) 638-0302

The enumeration date for this NPI number is 3/7/2021 and was last updated on 12/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse1158128KENTUCKYNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health3016425KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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