Healthcare Provider Details

I. General information

NPI: 1184068108
Provider Name (Legal Business Name): JENNIFER F HOVEST CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2013
Last Update Date: 03/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 ROCKSIDE RD CROWNE PLAZA II
INDEPENDENCE OH
44131-2172
US

IV. Provider business mailing address

24 HARVESTER DR
COPLEY OH
44321-1003
US

V. Phone/Fax

Practice location:
  • Phone: 216-986-4000
  • Fax:
Mailing address:
  • Phone: 419-261-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.361253
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCOA.14745-NP
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.14745-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: