Healthcare Provider Details

I. General information

NPI: 1104741800
Provider Name (Legal Business Name): REBECCA JOANNE HOOVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 CHESTNUT DR SW
CONCORD NC
28025-5244
US

IV. Provider business mailing address

10201 TAVERNAY PKWY
CHARLOTTE NC
28262-4468
US

V. Phone/Fax

Practice location:
  • Phone: 704-782-7620
  • Fax:
Mailing address:
  • Phone: 980-721-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number155205
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: