Individual provider Active NPI

Estelle Jane Davis Hodnett, NP, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1093043937
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
783732 Issued in FL
Practice address
4051 Philips Highway
Jacksonville, FL 32207-7299
Phone
(904) 737-5220
Fax
(904) 448-6794
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 783732 FL Primary

Addresses

Primary practice location

4051 Philips Highway
Jacksonville, FL 32207-7299

Mailing address

401 Bay Point Way North
Jacksonville, FL 32259-7907
Phone (904) 687-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
783732FLMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1093043937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BAY POINT WAY NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597907",
            "telephone_number": "904-687-3677",
            "fax_number": "904-230-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 PHILIPS HIGHWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077299",
            "telephone_number": "904-737-5220",
            "fax_number": "904-448-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS HODNETT",
        "first_name": "ESTELLE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "NP, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "783732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.