Individual
MS. JESSICA LAUREN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4107 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2653
(501) 955-2220
(501) 955-5531
Mailing address
14 CANTON DR, SHERWOOD, AR 72120-1971
(501) 256-2028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R091928
AR
390200000X
Student in an Organized Health Care Education/Training Program
R091928
AR
Other
Enumeration date
08/13/2013
Last updated
11/06/2023
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