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1467607622 NPI number — JESSE J HOFFMEYER CPNP

NPI Number: 1467607622
Health Care Provider/Practitioner: JESSE J HOFFMEYER CPNP

Information about “1467607622” NPI (JESSE J HOFFMEYER CPNP) exists in 1467607622 in HTML format HTML  |  1467607622 in plain Text format TXT  |  1467607622 in PDF (Portable Document Format) PDF  |  1467607622 in an XML format XML  formats.

NPI Number : 1467607622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467607622",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOFFMEYER",
    "FirstName": "JESSE",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "50 INDUSTRIAL PARK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BANGOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49013-1246",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-427-7937",
    "MailingAddressFaxNumber": "269-427-5180",
    "FirstLinePracticeLocationAddress": "800 M 139",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENTON HARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49022-3881",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-927-5400",
    "PracticeLocationAddressFaxNumber": "269-927-5493",
    "EnumerationDate": "12/01/2008",
    "LastUpdateDate": "12/28/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "13792",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "71003208A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "4704284732",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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