Provider Demographics
NPI:1821798737
Name:HODGE, APRIL EBONY
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:EBONY
Last Name:HODGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 SAN JOSE BLVD STE 56
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-7274
Mailing Address - Country:US
Mailing Address - Phone:904-465-7928
Mailing Address - Fax:
Practice Address - Street 1:8010 FOXDALE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-4637
Practice Address - Country:US
Practice Address - Phone:904-718-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel