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Individual

MRS. SIMONE SIMORE HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
2111 71ST AVE, BATON ROUGE, LA 70807-5910
(225) 939-8543
Mailing address
2111 71ST AVE, BATON ROUGE, LA 70807-5910
(225) 939-8543

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
97028-7595
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2397940
LA
Enumeration date
04/14/2014
Last updated
11/29/2020
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