IndividualActive
Chandra Hodge, NURSE
NPI 1811602162 · Psychiatric/Mental Health Nurse Practitioner · Ada, OK
Provider details
- NPI number
- 1811602162
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 225326 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 N Monte Vista St Ste a
Ada, OK 74820-4674
Phone: (580) 453-3230
Fax: (580) 453-3231
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776084
Chicago, IL 60677-6084
Registry dates
- Enumerated
- 2023-01-20
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.