Most Relevant Information
Provider Data
| NPI Number: | 1003503582 |
| Provider Name: | COURTNEY HODGE FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11025254 |
Most Important Dates
| Enumeration Date: | 04/24/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
2900 S HIGHWAY 77 STE 100
LYNN HAVEN
FL
324445612
Practice Location Phone/Fax
| Phone: | 8508047500 |
| Fax: |
Provider Mailing Location
4205 BELFORT RD STE 4015
JACKSONVILLE
FL
322163623
Provider Mailing Phone/Fax
| Phone: | 9044506063 |
| Fax: | 9045394091 |