Individual provider · Type 1 NPI
Jacqueline Hodges
Case Management Registered Nurse · Detroit, MI
NPI number
1295207991
Active
Practice location
15404 Ilene St
Detroit, MI 48238-1042
Mailing address
16845 Linwood St
Detroit, MI 48221-3126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 4704305533 (MI) |
Case Management Registered Nurse: Definition to come...
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About NPI 1295207991
Jacqueline Hodges's National Provider Identifier is 1295207991, issued on Dec 19, 2018. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Detroit, MI. The record was last updated on Dec 19, 2018.