IndividualActive
Jacqueline Hodges
NPI 1295207991 · Case Management Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1295207991
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704305533 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
15404 Ilene St
Detroit, MI 48238-1042
Phone: (313) 316-6357
Approximate (ZIP-level) locationGet directions
Mailing address
16845 Linwood St
Detroit, MI 48221-3126
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.