Individual
CHANDRA LYNN HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
520 N MONTE VISTA ST STE A, ADA, OK 74820-4674
(580) 453-3230
(580) 453-3231
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
225326
OK
Other
Enumeration date
01/20/2023
Last updated
01/15/2026
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