Healthcare Provider Details

I. General information

NPI: 1558995589
Provider Name (Legal Business Name): JENNIFER CHRISTINE HOHNEKE AGPCNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. LUKE'S TRANSITIONAL CARE CENTER 1420 UNITYPOINT WAY
CEDAR RAPIDS IA
52402
US

IV. Provider business mailing address

1420 UNITYPOINT WAY NE
CEDAR RAPIDS IA
52402-8001
US

V. Phone/Fax

Practice location:
  • Phone: 319-366-8701
  • Fax: 319-366-8702
Mailing address:
  • Phone: 319-366-8701
  • Fax: 319-366-8702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH158107
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberH158107
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberH158107
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: