JACQUELYNN MARIE HOFFMAN (NPI# 1306490248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306490248 |
| Entity Type | Individual |
| Full Name | JACQUELYNN MARIE HOFFMAN |
| Credential | APRN-CNP |
| Practice Address |
807 E Washington St Ste 220 Medina OH 44256-3330 |
| Mailing Address |
3593 Medina Rd # 181 Medina OH 44256-8182 |
| Practice Telephone | 3305363746 |
| Mailing Telephone | 3305363746 |
| Mailing Fax Number | 3302674250 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.025280 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
807 E WASHINGTON ST STE 220 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160442 | Charissa Duffy | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2018-07-05 |
| 1669024246 | Joshua Jay Black | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2019-07-12 |
| 1568937563 | Dale Lachance | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1689160442 | Charissa Duffy | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2018-07-05 |
| 1740896273 | Christina Redfern | Nurse Practitioner | 3593 Medina Rd # 181, Medina, OH 44256-8182 | 2020-09-21 |
| 1316563463 | Amy Rocco | Nurse Practitioner | 807 E Washington St, Medina, OH 44256-3338 | 2020-06-24 |
| 1669024246 | Joshua Jay Black | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2019-07-12 |
| 1568014215 | Alexandra Marie Gaff | Nurse Practitioner | 807 E Washington St, Medina, OH 44256-3338 | 2019-07-12 |
| 1376015594 | Ryan Michael Bednar | Nurse Practitioner | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2018-12-28 |
| 1568937563 | Dale Lachance | Nurse Practitioner | 807 E Washington St Ste 220, Medina, OH 44256-3330 | 2018-10-05 |
| Find all providers in MEDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.