Healthcare Provider Details

I. General information

NPI: 1952060329
Provider Name (Legal Business Name): JESSICA DIANE HOKE A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 06/07/2024
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6859 SW 18TH ST STE 200
BOCA RATON FL
33433
US

IV. Provider business mailing address

6859 SW 18TH ST STE 200
BOCA RATON FL
33433
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-3775
  • Fax: 561-392-7139
Mailing address:
  • Phone: 561-368-3775
  • Fax: 561-392-7139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012695
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN11012695
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: