Healthcare Provider Details

I. General information

NPI: 1376022244
Provider Name (Legal Business Name): JENNIFER ANNE HOHENADEL DNP, RN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ANNE ARNOLD

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5061 N PULASKI RD
CHICAGO IL
60630-2706
US

IV. Provider business mailing address

6124 N HARDING AVE
CHICAGO IL
60659-3108
US

V. Phone/Fax

Practice location:
  • Phone: 773-604-8112
  • Fax:
Mailing address:
  • Phone: 319-541-3301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.016215
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: