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NPI Code Detail

MEDICARE: MS. JENNIFER S. HOFFMAN CNP

MEDICARE: MS. JENNIFER S. HOFFMAN CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209-000531IL
2363LF0000XFamily Nurse Practitioner202100030NP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105732097OTHERILBC GROUP NUMBER
2101038OTHERILHEALTH ALLIANCE

General Provider Information

NPI Number : 1841230752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER S. HOFFMAN CNP
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 3325 POCAHONTAS RD
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1464
Country : US
Telephone Number : 541-524-8000
Fax Number : 541-524-7955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/14/2024

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