Individual provider · Type 1 NPI

Amanda Gail Hodges, CPNP-AC

Pediatric Nurse Practitioner · Jackson, MS

NPI number 1164934659 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	902340 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164934659

Amanda Gail Hodges, CPNP-AC's National Provider Identifier is 1164934659, issued on Oct 24, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Jan 10, 2018.