MRS. JESSICA NICOLE HOFFMANN (NPI# 1346600970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346600970 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA NICOLE HOFFMANN |
| Credential | MSN, RN, ANP, AGPCNP |
| Practice Address |
714 Gravois Rd Ste 210 Fenton MO 63026-7723 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 6366609850 |
| Practice Fax Number | 6366609851 |
| Mailing Telephone | 3148511000 |
| Mailing Fax Number | 3148514445 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041440487 | IL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 2012017496 | MO | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209014232 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2015042062 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238347 | Jessica Danielle Hoffmann | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2020-09-04 |
| 1770962516 | Jessica Marie Hoffmann | Emergency Medicine | 101 The City Dr S, Building 1a, Room 1009, Orange, CA 92868 | 2015-05-27 |
| 1144669797 | Jessica Dillon Hoffmann | Counselor | 331 Wethersfield Ave, Hartford, CT 06114-1420 | 2013-06-17 |
| Street Address |
714 GRAVOIS RD STE 210 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1902327869 | Thomas Richard Schaefer | Nurse Practitioner | 700 N Leroy St, Fenton, MI 48430-2738 | 2017-06-30 |
| 1104368018 | Elaine Marie Zobrist | Nurse Practitioner | 999 Shadow Pine Dr, Fenton, MO 63026-8312 | 2016-11-08 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1821048372 | William A Andel | Nurse Practitioner | 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | 2006-05-12 |
| 1861920142 | Lauren Melissa Beckmann | Nurse Practitioner | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2017-05-31 |
| 1760878839 | Laura Ly Allen | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2015-04-15 |
| 1477981454 | Kathleen Elizabeth Martin | Nurse Practitioner | 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 | 2013-10-29 |
| 1558799742 | Amanda Nicole Meitz | Nurse Practitioner | 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 | 2013-10-24 |
| 1255568523 | Shelly Marie Oles | Nurse Practitioner | 2420 Owen Rd, Fenton, MI 48430-3417 | 2009-06-15 |
| Find all providers in FENTON | ||||
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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.