Individual
RUKISHA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7 NESHAMINY INTERPLEX DR, FEASTERVILLE TREVOSE, PA 19053-6927
(610) 544-2110
(610) 604-9510
Mailing address
7 NESHAMINY INTERPLEX DR, FEASTERVILLE TREVOSE, PA 19053-6927
(610) 544-2110
(610) 604-9510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN800957
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
661901
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F403052
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP032771
PA
Other
Enumeration date
05/06/2020
Last updated
01/22/2026
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