Individual
MRS. KAYLA BREE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4240 BETHEL RD STE 201, OLIVE BRANCH, MS 38654-8737
(901) 763-0200
(901) 751-4002
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
30554
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
905541
MS
Other
Enumeration date
12/14/2021
Last updated
07/01/2026
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