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Connie Hodge, FNP-BC, PMHNP-BC
NPI 1891103313 · on the registry since 2014
Practice
- Address
- 6399 Goodman Rd Ste 105
Olive Branch, MS 38654 - Phone
- (662) 300-6822
- Organisation at this address
- Revivewave Therapeutics Llc
Advanced Physical Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
Nurse Practitioner - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-17
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