Search › Mississippi › 363LA2100X

Kayla Hodge, AGACNP-BC

NPI 1710646054 · on the registry since 2021

Practice

Address
4240 Bethel Rd Ste 201
Olive Branch, MS 38654
Phone
(901) 763-0200
Fax
(901) 751-4002
Clinicians at this address
9

Additional practice sites

  • 4250 Bethel Rd, Olive Branch, MS
  • 7691 Poplar Ave, Germantown, TN
  • 7460 Wolf River Blvd, Germantown, TN

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LA2100X
Licence states on file
MS, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi