Healthcare Provider Details

I. General information

NPI: 1790064046
Provider Name (Legal Business Name): ALISON S. HODGES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 LAKE HOWELL RD
MAITLAND FL
32751-5907
US

IV. Provider business mailing address

402 LAKE HOWELL RD
MAITLAND FL
32751-5907
US

V. Phone/Fax

Practice location:
  • Phone: 407-628-4312
  • Fax: 407-628-1845
Mailing address:
  • Phone: 407-628-4312
  • Fax: 407-628-1845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9284238
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP 9284238
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023207276
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: