Healthcare Provider Details

I. General information

NPI: 1720730872
Provider Name (Legal Business Name): JENNIFER EVELYN HOVEST CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 W HIGH ST STE 300
LIMA OH
45801-5914
US

IV. Provider business mailing address

PO BOX 486
KALIDA OH
45853-0486
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-5033
  • Fax:
Mailing address:
  • Phone: 419-230-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0030864
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: