Provider Demographics
NPI:1366964702
Name:HODGES, ASHLEY LEITH (PHD, CRNP)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LEITH
Last Name:HODGES
Suffix:
Gender:F
Credentials:PHD, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 COUNTY ROAD 330
Mailing Address - Street 2:
Mailing Address - City:CRANE HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35053-3135
Mailing Address - Country:US
Mailing Address - Phone:205-382-0809
Mailing Address - Fax:
Practice Address - Street 1:1776 INDEPENDENCE CT STE 302
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1231
Practice Address - Country:US
Practice Address - Phone:205-506-0322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-061335363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health