Healthcare Provider Details

I. General information

NPI: 1932791621
Provider Name (Legal Business Name): MEGHAN HOHMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 CREIGHTON RD
PENSACOLA FL
32504-7161
US

IV. Provider business mailing address

2120 E JOHNSON AVE STE 105
PENSACOLA FL
32514-6091
US

V. Phone/Fax

Practice location:
  • Phone: 850-777-5048
  • Fax:
Mailing address:
  • Phone: 850-830-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberAPRN11010879
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11010879
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: