Doctor Name: | MRS. ALLISON REBECCA KENDRICK-HODGES |
NPI Number: | 1215248935 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP06151 |
Business Practice Address: | 180 Ninth St Suite J Jena, LA - 71342 |
Business Phone Number: | 3189924275 |
Business Fax Number: | |
Mailing Address: | Po Box 2780, JENA |
State: | LA |
Postal Code: | 713422780 |
Phone Number: | 3189924275 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP06151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |