Individual
JENNA MARIE HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Mailing address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2015006240
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
994820
BLUE CROSS
MO
01
—
C79008
HEALTHLINK
MO
Enumeration date
03/23/2015
Last updated
04/12/2016
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