Most Relevant Information
Provider Data
| NPI Number: | 1003803446 |
| Provider Name: | JANICE ELAINE HODGE CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RO87926 |
Most Important Dates
| Enumeration Date: | 09/30/2005 |
| Last Updated: | 03/18/2009 |
Provider Practice Location
15825 SHADY GROVE RD
STE 140
ROCKVILLE
MD
208504008
Practice Location Phone/Fax
| Phone: | 3018699776 |
| Fax: | 3012162592 |
Provider Mailing Location
9509 WHETSTONE DR
MONTGOMRY VILLAGE
MD
208863109
Provider Mailing Phone/Fax
| Phone: | 3019264627 |
| Fax: |