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Dr. Connie Jean Hodge, FNP-BC, PMHNP-BC

Family Nurse Practitioner in Olive Branch, MS · enumerated 2014 · practices at Revivewave Therapeutics LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891103313

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Registry record

Entity type Individual (Type 1)
Name Dr. Connie Jean Hodge
Credential FNP-BC, PMHNP-BC
Sex Female
Practice address 6399 Goodman Rd Ste 105, Olive Branch, MS, 38654
Phone (662) 300-6822
Enumeration date Jul 28, 2014
Last updated in NPPES Jul 17, 2026

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R858633 (MS) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R858633 (MS) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R858633 (MS) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1891103313 active?
Yes, as of the latest NPPES snapshot, NPI 1891103313 is active (record last updated 2026-07-17).
How do I verify Connie Hodge's NPI record?
Cross-check NPI 1891103313 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-17.