Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 201001713 | NC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 057643 | GA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2010-01713 | NC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 30308 | SC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | TL30308 | SC |
NPI | 1841341401 |
---|---|
Provider Name | Jennifer Hooker |
First Address | Charlotte, NC 28260-2373 |
Second Address | Asheville, NC 28803-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 18/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
303086 | (05) | SC |
890201Q | (05) | NC |