Provider Demographics
NPI:1124522909
Name:MCGEE, DODIE D (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DODIE
Middle Name:D
Last Name:MCGEE
Suffix:
Gender:
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-0664
Mailing Address - Country:US
Mailing Address - Phone:601-915-2095
Mailing Address - Fax:
Practice Address - Street 1:119 S OAK STE 2
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:MS
Practice Address - Zip Code:39154-4205
Practice Address - Country:US
Practice Address - Phone:601-259-4442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902528363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty