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JAMES HODGE, AG-ANCP-BC – NPI #1558810309
Acute Care

NPI Profile for JAMES HODGE in MELBOURNE, FL.

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Contact Information

JAMES HODGE, AG-ANCP-BC
1350 HICKORY ST
MELBOURNE, FL  32901-3224
 Phone: 321-434-4225
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Acute Care

 363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAMES HODGE · (Male)

NPI Number 1558810309
Status Active
Credentials AG-ANCP-BC
Entity Individual
Enumeration date 09/21/2016
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 008372
  • DE License # LP-0000348
  • FL License # APRN9461696
  • FL License # ARNP9461696
  • MD License # R192286
  • FL Medicaid 022631800
  • CT Other 008372 CT LIC
  • FL Other P2257 MEDICARE HF
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
  • BEEBE MEDICAL CENTER - (Acute Care)
    424 SAVANNAH RD
    LEWES, DE 19958
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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