Individual
JASON HOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(647) 684-2300
Mailing address
1950 SHELBY ST, DUBUQUE, IA 52001-4449
(651) 428-5975
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
143793
IA
163WP0808X
Psychiatric/Mental Health Registered Nurse
903780
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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