Maxwell-Hodges, Deborah Lynne

Maxwell-Hodges, Deborah Lynne is an individual health care provider with primary practice located at 653 W 8Th St Ufjp -Dept. Of Obgyn, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maxwell-Hodges, Deborah Lynne can be contacted via phone (904) 244-3109.

Contact Information

Primary practice address
653 W 8Th St Ufjp -Dept. Of Obgyn Jacksonville FL 32209-6511
Phone: (904) 244-3109
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1325412 Florida

Profile Details

NPI number 1770559197
LBN Legal business name Maxwell-Hodges, Deborah Lynne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Nov 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770559197 NPPES
Florida MEDICAID 303691000
Florida MEDICAID 3036910-00
Florida MEDICAID 671364245A
Florida MEDICAID 671364245B
Florida Other Y00YQ

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