Individual provider · Type 1 NPI
Chandra Lynn Hodge, NURSE
Psychiatric/Mental Health Nurse Practitioner · Ada, OK
NPI number
1811602162
Active
Practice location
520 N Monte Vista St Ste A
Ada, OK 74820-4674
Fax (580) 453-3231
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 225326 (OK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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- Tina Renae Peterson, APRN-BCPsychiatric/Mental Health Nurse Practitioner Ada, OK NPI 1528747896
- Susan Wangari Kibe, APRNPsychiatric/Mental Health Nurse Practitioner Ada, OK NPI 1699305870
- Martha Wisehart Hernandez, APRN, CNS, BCPsychiatric/Mental Health Nurse Practitioner Ada, OK NPI 1811031016
About NPI 1811602162
Chandra Lynn Hodge, NURSE's National Provider Identifier is 1811602162, issued on Jan 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ada, OK. The record was last updated on Jan 15, 2026.