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STACEY S HODGES ACNP
NPI 1104814805
Nurse Practitioner - Acute Care in Jackson, TN

Active since October 07, 2005
9 PHYSICIANS DR, JACKSON, TN 38305(731) 661-0086(731) 661-0281 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey S Hodges Acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY S HODGES ACNP (NPI 1104814805) is an individual acute care provider in Jackson, Tennessee, licensed in Tennessee (RN105802) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1104814805
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTACEY S HODGESCredential: ACNP
Location Address9 PHYSICIANS DRJackson, TN 38305
Mailing AddressPo Box 11567Jackson, TN 38308 · (731) 661-0086 · Fax (731) 661-0281
Phone(731) 661-0086
Fax(731) 661-0281
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1104814805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in TN · RN105802✔ Licensed in TN · APN 7203
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License RN105802 (TN)
9 PHYSICIANS DR, Jackson, TN 38305
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Other Identifiers 1

Medicaid3902598TN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON MEDICAL SERVICES
Nurse Anesthetist, Certified Registered
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
BRITTANY HARRIS NP
Nurse Practitioner (Family)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
MARK W SWAIM MD
Internal Medicine (Gastroenterology)
9 PHYSICIANS DR, TRANSSOUTH HEALTH CARE PC
JACKSON, TN 38305
Madison County (731) 661-0086
TENNESSEE ANESTHESIA NETWORK SERVICES LLC
Anesthesiology
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
ALLAN M MENACHEM MD
Internal Medicine (Gastroenterology)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
TRANSSOUTH HEALTH CARE PLLC
Clinic/Center (Ambulatory Surgical)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Hodges's NPI number?

The NPI number for Stacey Hodges is 1104814805. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Stacey Hodges located?

Stacey Hodges practices at 9 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 661-0086.

What is Stacey Hodges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Stacey Hodges was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.