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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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