Healthcare Provider Details

I. General information

NPI: 1609492214
Provider Name (Legal Business Name): JENNA HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA MARIE TURNER NP

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 E WINDSOR RD
URBANA IL
61802-9566
US

IV. Provider business mailing address

611 W PARK ST
URBANA IL
61801-2529
US

V. Phone/Fax

Practice location:
  • Phone: 217-255-9592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209021559
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277003521
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041395936
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: