1225176910 NPI number — JESSIE HUSKEY HODGE NURSE PRACTITIONER

Table of content: JESSIE HUSKEY HODGE NURSE PRACTITIONER (NPI 1225176910)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225176910 NPI number — JESSIE HUSKEY HODGE NURSE PRACTITIONER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HODGE
Provider First Name:
JESSIE
Provider Middle Name:
HUSKEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NURSE PRACTITIONER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225176910
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
610 NORTHWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST MONROE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71291-1683
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-396-1925
Provider Business Mailing Address Fax Number:
318-362-3421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1650 DESIARD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71201-7722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-361-7360
Provider Business Practice Location Address Fax Number:
318-362-0404
Provider Enumeration Date:
02/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  RN060909 AP01221 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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