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Individual

MRS. JESSICA LEE HOORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684
(231) 392-8742
(231) 935-0747
Mailing address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 392-8742
(231) 935-0747

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704304605
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704304605
MI

Other

Enumeration date
11/19/2016
Last updated
07/03/2018
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