Individual provider · Type 1 NPI

Jacob Hodges

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1902494347 Active

Practice location

4545 Georgetown Pl Ste D
Stockton, CA 95207-6229

Call (209) 639-4733 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Day Training/Habilitation Specialist 373H00000XNone 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.

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About NPI 1902494347

Jacob Hodges's National Provider Identifier is 1902494347, issued on Dec 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Oct 24, 2025.