=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700647559
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPE & HEALING NP SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2024
-----------------------------------------------------
Last Update Date | 11/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3800 E LAKE CTR STE 100D
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62305-5839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-430-6776
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1529 E 2253RD LN
-----------------------------------------------------
City | CAMP POINT
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62320-2315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-215-3010
-----------------------------------------------------
Fax | 855-300-9824
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | HEATHER HOFFMAN
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 217-430-6776
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------