Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 697752 | TX |
NPI | 1003162744 |
---|---|
Provider Name | Mrs. Sherry A Hoover |
First Address | Rockwall, TX 75032-5749 |
Second Address | Heath, TX 75032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 05/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
697752 | RN FNP-C (01) | TX |