Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | H158107 | IA |
N | 363LC1500X | Nurse Practitioner - Community Health | H158107 | IA |
N | 363LG0600X | Nurse Practitioner - Gerontology | H158107 | IA |
NPI | 1558995589 |
---|---|
Provider Name | Jennifer Christine Hohneke |
First Address | Cedar Rapids, IA 52402-8001 |
Second Address | Cedar Rapids, IA 52402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2020 |
Last Update Date | 24/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H158107 | (05) | IA |
H158107 | INSURANCE (01) | IA |
H158107 | IOWA ARNP LICENSE (01) | IA |