Individual provider · Type 1 NPI

Jacob James Hodge, MD

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1285568436 Active

Practice location

918 Raymond Ave Apt 1
St. Paul, MN 55114-1219

Call (218) 232-0876 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in St. Paul

See all in St. Paul →

About NPI 1285568436

Jacob James Hodge, MD's National Provider Identifier is 1285568436, issued on Jun 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 11, 2026.