NPI 1194178376 · live from the CMS NPI Registry
Amy Hodges, APRN, CPNP-PC
Nurse Practitioner, Pediatrics in Salem, AR. National Provider Identifier 1194178376, active.
NPI record
| NPI | 1194178376 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 172 Highway 62 W, Salem, AR 72576 |
| Practice phone | 870-895-2735 |
| Mailing address | Po Box 83, Corning, AR 72422 |
| Enumerated | July 22, 2016 |
| Last updated | August 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A004837 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.