Individual
LISA R HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 286-3900
(765) 286-1915
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005819A
IN
Other
Enumeration date
10/02/2015
Last updated
01/14/2021
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