Individual
JAMIE ANN HOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7111
(864) 455-6441
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18644
SC
367500000X
Certified Registered Nurse Anesthetist
RN27297
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548261
ANTHEM
OH
05
—
2466022
—
OH
Enumeration date
01/05/2007
Last updated
03/17/2018
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