Provider Demographics
NPI:1275151227
Name:HODGES, VICKIE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:
Last Name:HODGES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8491 SE 165TH MULBERRY LN
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5847
Mailing Address - Country:US
Mailing Address - Phone:352-448-6469
Mailing Address - Fax:352-504-0901
Practice Address - Street 1:8491 SE 165TH MULBERRY LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5847
Practice Address - Country:US
Practice Address - Phone:352-448-6469
Practice Address - Fax:352-504-0901
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily