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General NPI Number Information
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NPI Number | 1366682494
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Entity Type | Individual
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Provider Name | HEATHER R HODGSON APRN, PMHNP-BC, FNP-
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Gender | Female
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 303 W NEWMAN AVE
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City | HARRISON
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State | AR
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Zip | 72601-5839
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Country | US
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Telephone | 479-318-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N 8TH ST UNIT 58
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City | ROGERS
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State | AR
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Zip | 72757-7148
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Country | US
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Telephone | 479-469-0313
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Fax | 479-769-3000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003984
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP05728
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | A009884
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License Number State | AR
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