Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline C Hode, CFNP

Individual provider Family Nurse Practitioner · NPI 1912649302

Jacqueline C Hode, CFNP is a Nurse Practitioner in Vancleave, Mississippi. Qualified in 2021, 5 years ago. Practices with Bienville Orthopaedic Specialists, LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
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Practice location Address checks out

6300 E Lake Blvd Ste 201
Vancleave, MS 39565-6771
Phone: (228) 230-2663
Fax: (228) 546-3257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905276 (MS)

Record details

NPI number1912649302
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESApril 7, 2022
Certification dateMarch 31, 2022
Mailing address6300 E Lake Blvd Ste 301, Vancleave, MS 39565-6771

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bienville Orthopaedic Specialists, Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancleave