Healthcare Provider Details

I. General information

NPI: 1487574919
Provider Name (Legal Business Name): JESSICA HAILEY HOSKIN MSN, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6847 N CHESTNUT ST
RAVENNA OH
44266-3929
US

IV. Provider business mailing address

6847 N CHESTNUT ST
RAVENNA OH
44266-3929
US

V. Phone/Fax

Practice location:
  • Phone: 330-297-8838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License NumberRN.378124
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: