Healthcare Provider Details

I. General information

NPI: 1528405586
Provider Name (Legal Business Name): JESSICA VICENT HOY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 N COLUMBUS ST STE 100
LANCASTER OH
43130-8189
US

IV. Provider business mailing address

2111 E STATE ST
ATHENS OH
45701-2138
US

V. Phone/Fax

Practice location:
  • Phone: 614-908-1339
  • Fax:
Mailing address:
  • Phone: 740-566-4621
  • Fax: 740-566-4622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number34.012727
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number34.012727
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: