OLIVIA JEAN WELLS HODGSON FNP-BC NPI 1073106878

NPI Information

  • NPI: 1073106878
  • Provider Name: OLIVIA JEAN WELLS HODGSON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10010 FALLS OF NEUSE RD
    STE 103 & 300
    RALEIGH, NC
    ZIP 27614
  • Phone: (919) 848-6946

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NPI Details

Olivia Jean Wells Hodgson, FNP-BC is a family nurse practitioner in Raleigh, NC with 3 years of experience. Olivia Jean Wells Hodgson, FNP-BC NPI is 1073106878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

10010 FALLS OF NEUSE RD
STE 103 & 300
RALEIGH, NC
ZIP 27614-494
Phone: (919) 848-6946

The NPI 1073106878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2021 and was last updated on 10/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363LF0000XNurse PractitionerFamily5016460NORTH CAROLINAYes
3163W00000XRegistered Nurse294763NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073106878MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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