Individual
MS. JENNIFER S. HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 524-8000
(541) 524-7955
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202100030NP-PP
OR
363LF0000X
Family Nurse Practitioner
209-000531
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732097
BC GROUP NUMBER
IL
01
—
101038
HEALTH ALLIANCE
IL
Enumeration date
06/08/2006
Last updated
06/14/2024
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