Individual
MS. SAMANTHA GAMMILL HODGES
Active
Individual
MS. SAMANTHA GAMMILL HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3004267
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
71001916A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576607
BLUE CROSS BLUE SHIELD
IN
05
—
200885860
—
IN
05
—
7100083640
—
KY
01
—
K142950
MEDICARE
KY
Enumeration date
11/21/2006
Last updated
02/20/2026
Update your record
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