Individual
JESSICA L HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
(218) 927-5319
Mailing address
16830 198TH AVENUE NW PO BOX 539, CENTRACARE CLINIC BIG LAKE, BIG LAKE, MN 55309-4860
(763) 263-7300
(763) 263-7334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54811
MN
390200000X
Student in an Organized Health Care Education/Training Program
156397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942438270
—
MN
Enumeration date
06/25/2009
Last updated
06/22/2021
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