Individual
WILLIAM JESSE HODNETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
Mailing address
60 OAKRIDGE RD, BOYLE, MS 38730-9751
(662) 907-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902910
MS
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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