Individual
DR. JENNIFER A HOFSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(757) 446-8920
(757) 446-5242
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-7350
(208) 367-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247286
VA
207R00000X
Internal Medicine Physician
Primary
M-13462
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
05
—
1003079120
—
VA
01
—
10060934
OPTIMA HEALTH
VA
01
—
407988
ANTHEM BC/BS
VA
05
—
5915448
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
07/09/2008
Last updated
11/23/2016
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