Individual
JENNIFER S HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2600 7TH ST SW, CANTON, OH 44710-1709
(330) 363-4920
Mailing address
2600 TUSCARAWAS ST W, CANTON, OH 44708-4644
(330) 363-6296
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-09672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2790001
—
OH
01
—
RN-302146
OHIO BOARD OF NURSING
OH
01
—
RX-09672
OHIO BOARD OF NURSING
OH
Enumeration date
10/12/2007
Last updated
02/20/2024
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