Individual
JACKLENE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7502
Mailing address
6220 28TH AVE SE, LINCOLN, ND 58504-9314
(206) 200-5454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35439
ND
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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