| Sharon Hodges, APRN | |
|
215 E Main St, Providence, KY 42450-1261 | |
| (270) 667-7017 | |
| (270) 667-5956 |
| Full Name | Sharon Hodges |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 215 E Main St, Providence, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366811796 | NPI | - | NPPES |
| 7100384000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3009829 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3009829 (Kentucky) | Primary |
| Entity Name | Marshall County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689778250 PECOS PAC ID: 3375581986 Enrollment ID: O20050422000645 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
| Entity Name | Regional Health Care Affiliates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558692558 PECOS PAC ID: 3173668274 Enrollment ID: O20100824000119 |
| Entity Name | Crittenden Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275097339 PECOS PAC ID: 8426398793 Enrollment ID: O20190606001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Hodges, APRN 215 E Main St, Providence, KY 42450-1261 Ph: (270) 667-7017 | Sharon Hodges, APRN 215 E Main St, Providence, KY 42450-1261 Ph: (270) 667-7017 |
Mrs. Kimberly Ann Jackson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Mrs. Christina Cole Chumley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 E Main St, Providence, KY 42450 Phone: 270-667-2023 Fax: 270-667-7518 | |
Lori R Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Mrs. Jennifer J Collins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Winona F Lambdin, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Chelsey Aikins Bell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 |