Individual provider · Type 1 NPI
Connie Jean Hodge, FNP-BC, PMHNP-BC
Family Nurse Practitioner · Olive Branch, MS
NPI number
1891103313
Active
Practice location
6399 Goodman Rd Ste 105
Olive Branch, MS 38654-7063
Fax (662) 796-6134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R858633 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | R858633 (MS) |
| Nurse Practitioner | 363L00000X | R858633 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Olive Branch
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- Misty Moore Ivy, C.R.N.P.Family Nurse Practitioner Olive Branch, MS NPI 1063465482
- Kori Swearengen, FNP-BCFamily Nurse Practitioner Olive Branch, MS NPI 1093139214
- Queen McGhee, APNFamily Nurse Practitioner Olive Branch, MS NPI 1093191751
- Virginia Holmes, FNPFamily Nurse Practitioner Olive Branch, MS NPI 1134543820
- Roslyn Raquel Perry, NPFamily Nurse Practitioner Olive Branch, MS NPI 1215418439
- Allison Tucker McCulleyFamily Nurse Practitioner Olive Branch, MS NPI 1215705488
- Charla F. Wilson, FNPFamily Nurse Practitioner Olive Branch, MS NPI 1225027832
About NPI 1891103313
Connie Jean Hodge, FNP-BC, PMHNP-BC's National Provider Identifier is 1891103313, issued on Jul 28, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olive Branch, MS. The record was last updated on Oct 1, 2026.