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Individual
JACQUELYN M HOFFMAN
Active
Individual
JACQUELYN M HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
7023349
NY
363LA2200X
Adult Health Nurse Practitioner
7869375
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F-306093-1
NY
Other
Enumeration date
07/16/2012
Last updated
03/23/2021
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