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NPI Code Detail

MEDICARE: JESSICA HOFFMAN

MEDICARE:   JESSICA  HOFFMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician228202NC
2207R00000XInternal Medicine Physician2020-04147NC

General Provider Information

NPI Number : 1386179547
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HOFFMAN
Provider Business Mailing Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 509 N ELAM AVE # D
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1129
Country : US
Telephone Number : 336-832-0970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 07/14/2022

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Directions to “ JESSICA HOFFMAN ” Practice Location

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