Healthcare Provider Details

I. General information

NPI: 1013452713
Provider Name (Legal Business Name): JENNY RENAE HOYNG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N 2ND ST
COLDWATER OH
45828-9778
US

IV. Provider business mailing address

609 N 2ND ST
COLDWATER OH
45828-9778
US

V. Phone/Fax

Practice location:
  • Phone: 567-279-2937
  • Fax:
Mailing address:
  • Phone: 567-279-2937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number312676
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: