Provider Demographics
NPI:1356001614
Name:HOOD, BETSY CAMILLE (PA)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:CAMILLE
Last Name:HOOD
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:877-348-1281
Mailing Address - Fax:901-227-3206
Practice Address - Street 1:1151 N STATE ST STE 404
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-2457
Practice Address - Country:US
Practice Address - Phone:601-292-4261
Practice Address - Fax:601-292-4262
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2024-06-28
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Provider Licenses
StateLicense IDTaxonomies
MSPA00632363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant