Individual
JENNIFER L HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 ELMHURST LN, PORTSMOUTH, VA 23701-2745
(757) 488-7500
Mailing address
4617 ARDMORE LN, VIRGINIA BEACH, VA 23456-5038
(757) 816-3115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175295
VA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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