Individual
JONATHAN ELLIOTT VAN HOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE STE 1100, RALEIGH, NC 27610-1231
(919) 231-6333
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010094
NC
Other
Enumeration date
12/07/2017
Last updated
04/14/2021
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