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General NPI Number Information
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NPI Number | 1023608908
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Entity Type | Individual
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Provider Name | JESSICA TAYLOR HODGE PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 4220 HARDING PIKE
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City | NASHVILLE
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State | TN
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Zip | 37205-2005
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Country | US
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Telephone | 615-222-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 800
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City | NASHVILLE
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State | TN
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Zip | 37205-2221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2024037077
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4932
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC0928
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18251
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 85.010633
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-11969
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 191361
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License Number State | AK
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13973
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License Number State | MN
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