Provider Demographics
NPI:1518224146
Name:HODGES, JANELLE GENE (LPN)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:GENE
Last Name:HODGES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 HIGHLAND DR
Mailing Address - Street 2:103A
Mailing Address - City:LODI
Mailing Address - State:OH
Mailing Address - Zip Code:44254-1244
Mailing Address - Country:US
Mailing Address - Phone:330-241-7746
Mailing Address - Fax:
Practice Address - Street 1:624 HIGHLAND DR
Practice Address - Street 2:103A
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1244
Practice Address - Country:US
Practice Address - Phone:330-241-7746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 113727164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse