Healthcare Provider Details

I. General information

NPI: 1609243336
Provider Name (Legal Business Name): GABRIELLE PILAR HODGES MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE PILAR FRISBIE MSN, RN

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 08/25/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CARTER ST
CHATTANOOGA TN
37402-5017
US

IV. Provider business mailing address

1101 CARTER ST
CHATTANOOGA TN
37402-5017
US

V. Phone/Fax

Practice location:
  • Phone: 423-490-7750
  • Fax:
Mailing address:
  • Phone: 423-490-7710
  • Fax: 423-490-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number180125
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP129298
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number36496
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: