| Doctor Name: | JULIE A HODSON |
| NPI Number: | 1902150741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 4704216646 |
| Business Practice Address: | 3696 S Straits Hwy Indian River, MI - 497495136 |
| Business Phone Number: | 2312380581 |
| Business Fax Number: | 2312380586 |
| Mailing Address: | 829 N Center Ave, Suite 298 GAYLORD |
| State: | MI |
| Postal Code: | 497351595 |
| Phone Number: | 9897317708 |
| Fax Number: | 9897317929 |
| NPI Enumeration Date: | 11/01/2012 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704216646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |