JESSE J HOFFMEYER CPNP - NPI 1467607622 - Nurse Practitioner in Benton Harbor, MI

Q: What is Jesse Hoffmeyer's NPI number?

The NPI number for Jesse Hoffmeyer is 1467607622. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Jesse Hoffmeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Hoffmeyer was last updated on December 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jesse J Hoffmeyer Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE J HOFFMEYER CPNP (NPI 1467607622) is an individual pediatrics provider in Benton Harbor, Michigan, licensed in Michigan (4704284732) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1467607622

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameJESSE J HOFFMEYERCredential: CPNP

Location Address800 M 139Benton Harbor, MI 49022-3881

Mailing Address50 Industrial Park RdBangor, MI 49013-1246 · (269) 427-7937 · Fax (269) 427-5180

Phone(269) 927-5400

Fax(269) 927-5493

Sole ProprietorNo

Enumeration DateDecember 1, 2008

Last NPPES UpdateDecember 28, 2011

✔ NPI 1467607622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in MI · 4704284732✔ Licensed in TN · 13792✔ Licensed in IN · 71003208A

800 M 139, Benton Harbor, MI 49022

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Other Identifiers 1

Medicare PIN3342463TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER COOPER-PETERSON RDH

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