Individual
JENNA NICOLE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8442
Mailing address
323 MAIN ST UNIT A, WESTBROOK, ME 04092-4717
(303) 506-7192
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213049
ME
390200000X
Student in an Organized Health Care Education/Training Program
205059
CO
Other
Enumeration date
05/30/2019
Last updated
10/22/2021
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