JACKLENE HOFFMAN (NPI# 1477047447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477047447 |
Entity Type | Individual |
Full Name | JACKLENE HOFFMAN |
Credential | APRN, NP-C |
Practice Address |
310 N 10th St Bismarck ND 58501-4516 |
Mailing Address |
6220 28th Ave Se Lincoln ND 58504-9314 |
Practice Telephone | 7015307502 |
Mailing Telephone | 2062005454 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R35439 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
310 N 10TH ST |
City | BISMARCK |
State | ND |
Zip Code | 58501-4516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396724282 | Todd M Preszler | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-01-10 |
1174184832 | Anita M Fru | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2019-06-24 |
1366007288 | Sarah Andes | Social Worker | 310 N 10th St, Bismarck, ND 58501-4516 | 2019-05-06 |
1528409505 | Tana Bock | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-07-08 |
1962842120 | Megan Fettig | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-07-02 |
1538506696 | Andrea Rudnick | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-05-30 |
1346504016 | Sara Lynn Wiedrich | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2012-06-27 |
1013233436 | Amanda Susan Braaten | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-04-09 |
1801110101 | Nicholas Coren Bradbury | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-03-16 |
1356678296 | Cynthia Folk | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2009-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
Find all providers in zip 58501 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
1447804679 | Sonia Takacs | Nurse Practitioner | 4023 State St Ste 60, Bismarck, ND 58503-0690 | 2019-07-25 |
1912498593 | Cynthia Lynn Wald | Nurse Practitioner | 2792 E Broadway Ave, Bismarck, ND 58501-5177 | 2018-05-19 |
1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
1699024588 | Bladder Care Inc | Nurse Practitioner | 2315 Jackson Ave, Bismarck, ND 58501-2274 | 2012-09-06 |
1306155726 | Christine Marie Aman | Nurse Practitioner | 3100 Moonstone Ln, Bismarck, ND 58503-6308 | 2010-10-04 |
1316259294 | Carrie Gerving | Nurse Practitioner | 222 North 7th Street, Bismarck, ND 58506-5505 | 2010-07-08 |
1619108420 | Ashley Murrey | Nurse Practitioner | 3000 N 14th St, Bismarck, ND 58503-0697 | 2009-07-29 |
1841406337 | Darleen Ruth Bartz | Nurse Practitioner | 600 E Boulevard Ave, Bismarck, ND 58505-0660 | 2007-05-14 |
Find all providers in BISMARCK |
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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.