Healthcare Provider Details

I. General information

NPI: 1730570912
Provider Name (Legal Business Name): HEATHER L. HOFFMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER L. LEINDECKER CNP

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 E LAKE CTR
QUINCY IL
62305-5839
US

IV. Provider business mailing address

104 E SPRING ST
CAMP POINT IL
62320-1314
US

V. Phone/Fax

Practice location:
  • Phone: 217-215-3010
  • Fax:
Mailing address:
  • Phone: 217-430-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001955
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: