Individual provider · Type 1 NPI

Marissa Alexandra Hodges

Licensed Vocational Nurse · Yucaipa, CA

NPI number 1881576478 Active

Practice location

12014 3rd St Apt B
Yucaipa, CA 92399-2744

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	752362 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1881576478

Marissa Alexandra Hodges's National Provider Identifier is 1881576478, issued on Jul 23, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Yucaipa, CA. The record was last updated on Jul 23, 2025.