Provider Demographics
NPI:1477156545
Name:HODGES, JEAONNA CIENNE (CD(DONA), CLC)
Entity Type:Individual
Prefix:
First Name:JEAONNA
Middle Name:CIENNE
Last Name:HODGES
Suffix:
Gender:F
Credentials:CD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 UNIVERSAL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3803
Mailing Address - Country:US
Mailing Address - Phone:412-888-9386
Mailing Address - Fax:
Practice Address - Street 1:1208 UNIVERSAL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3803
Practice Address - Country:US
Practice Address - Phone:412-888-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula