Individual
AMY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
172 HIGHWAY 62 W, SALEM, AR 72576-8059
(870) 895-2735
(870) 895-2709
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A004837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215618758
—
AR
Enumeration date
07/22/2016
Last updated
08/15/2024
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