Individual
MS. JESSICA LAUREN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10729 QUEENS TOWN DR, RIVERVIEW, FL 33579-7186
(813) 672-3497
(813) 741-2418
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(501) 256-2028
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R091928
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11048551
FL
390200000X
Student in an Organized Health Care Education/Training Program
R091928
AR
Other
Enumeration date
08/13/2013
Last updated
06/17/2026
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