Individual
SONDRA S HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
559 N WESTGATE AVE, JACKSONVILLE, IL 62650-1156
(217) 243-5474
(217) 245-2322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209004842
ILLINOIS STATE LICENSE
IL
Enumeration date
07/11/2007
Last updated
10/10/2016
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