Individual
JENNIFER M HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
244575
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7351
—
SC
Enumeration date
02/03/2021
Last updated
08/20/2025
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