Individual provider · Type 1 NPI

Chad Ray Hodge, RN

Nurse Practitioner · Lake Charles, LA

NPI number 1154854255 Active

Practice location

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Fax (337) 433-2031

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN136771 (LA)
Nurse Practitioner Primary 363L00000XAP09641 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154854255

Chad Ray Hodge, RN's National Provider Identifier is 1154854255, issued on Apr 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 9, 2018.