Individual
ASHLEY LAINE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 231-0046
Mailing address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 231-0046
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
2002015387
MO
363LF0000X
Family Nurse Practitioner
Primary
2019036577
MO
Other
Enumeration date
10/17/2019
Last updated
10/30/2023
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