Individual
JESSE J HOFFMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022-3881
(269) 927-5400
(269) 927-5493
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
13792
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
4704284732
MI
363LP0200X
Pediatric Nurse Practitioner
71003208A
IN
Other
Enumeration date
12/01/2008
Last updated
12/28/2011
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